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NPI Code Detail

MEDICARE: BRIANA BLACKMER

MEDICARE: BRIANA BLACKMER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1871250225
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA BLACKMER
Provider Business Mailing Address
First Line : 4000 SANCAR WAY STE 410
Second Line :
City : DURHAM
State : NC
Zip : 27713-2891
Country : US
Telephone Number : 919-371-2848
Fax Number :
Provider Business Practice Location Address
First Line : 4000 SANCAR WAY STE 410
Second Line :
City : DURHAM
State : NC
Zip : 27713-2891
Country : US
Telephone Number : 919-371-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2021
Last Update Date : 01/19/2026

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Directions to “ BRIANA BLACKMER ” Practice Location

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