NPI 1316409675 · live from the CMS NPI Registry
Rachel Ann Blackburn, M.Ed., BCBA, LBA
Behavior Analyst in Lexington, KY. National Provider Identifier 1316409675, active.
NPI record
| NPI | 1316409675 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1300 E New Circle Rd Ste 150, Lexington, KY 40505 |
| Practice phone | 859-685-1019 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | April 4, 2019 |
| Last updated | April 29, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 248161 (KY) |
| Behavior Analyst | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.