Tereza Blazkova Watson, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-18620 Issued in ID

Practice address

13284 Riverside Rd
Caldwell, ID 83607-7903

Phone

(208) 718-8871

NPI assigned

Nov 23, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777766400000",
    "number": "1043684467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13284 RIVERSIDE RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077903",
            "telephone_number": "208-718-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13284 RIVERSIDE RD",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836077903",
            "telephone_number": "208-718-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TEREZA",
        "middle_name": "BLAZKOVA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2026-05-03",
        "certification_date": "2026-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "ID",
            "license": "1-15-18620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc.
• Walmart Inc.
• James L Ward Sr., MD
• Jenifer Ward
• Kaleb Ryan Ward, DO
• Dennis L Wattier Jr., RN
• Rusty James Wattier, LMSW, ADC
• Margaret Ellen Watts, DNP FNP-C
• Sean R Weatherston, P.T.
• Jason Weaver

• Behavior Analyst in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Behavior Analyst in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2026; 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.