Joshua James Blankenship

Individual provider Active NPI Behavior Technician · Louisville, TN

NPI 1083482863 · NPPES record last updated Dec 12, 2023

Key facts

NPI
1083482863
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
3845 Holston College Rd
Louisville, TN 37777-3105
Phone
(865) 637-9711
NPI assigned
Dec 12, 2023
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center Current
since Dec 17, 2023
Accepting new patients

Locations

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

3845 Holston College Rd
Louisville, TN 37777-3105

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Other practice location 1

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Other providers in Louisville, TN

All providers in Louisville, TN · Behavior Technician in Tennessee

Sources for this page

Verify at the official NPI Registry.