NPI 1508572819 · live from the CMS NPI Registry
Blake Anthis
Behavior Analyst in Newburgh, IN. National Provider Identifier 1508572819, active.
NPI record
| NPI | 1508572819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 4655 Rosebud Ln, Newburgh, IN 47630 |
| Practice phone | 812-213-8031 |
| Mailing address | 3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268 |
| Enumerated | January 30, 2023 |
| Last updated | September 8, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 95001463A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.