Veronika Blackburn

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-363311 Issued in AL

Practice address

100 Spenryn Drive
Huntsville, AL 35813

Phone

(256) 772-4400

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1023832359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1994 HIGHWAY 72 E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358119837",
            "telephone_number": "256-622-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPENRYN DRIVE",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35813",
            "telephone_number": "256-772-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBURN",
        "first_name": "VERONIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "AL",
            "license": "RBT-24-363311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "veronikablackburn@gmail.com",
            "affiliation": "N",
            "endpointDescription": "my email",
            "address_1": "100 spenryn drive",
            "city": "huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Brigance Black, PT
• Heather R Black, PHARM.D., MBA
• Nilsa Black, CRNP
• Ryan Daniel Black, MD
• Tammi Black, LPN
• Haylee Kristofer Blackmon
• Danielle Blackwell, WHNP-BC
• Savanah Rena Blackwood, CRNP
• Destiny Blade
• Jeremy Braden Blair, LMFT

• Behavior Technician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Behavior Technician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.