Blake R Inouye, M.ED, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

12637 S 265 W
Draper, UT 84020-5400

Phone

(801) 609-4086

NPI assigned

Sep 13, 2022

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Education

Practice roles

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.

• Autism & Behavioral Intervention, LLC

  • Behavior Analyst
  • Draper, UT
  • NPI 1144610502
  NPD (past)

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1093437451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3874 S EASTWOOD LN # B",
            "city": "MILLCREEK",
            "state": "UT",
            "postal_code": "841093450",
            "telephone_number": "702-824-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12637 S 265 W",
            "city": "DRAPER",
            "state": "UT",
            "postal_code": "840205400",
            "telephone_number": "801-609-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INOUYE",
        "first_name": "BLAKE",
        "middle_name": "R",
        "credential": "M.ED, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blake.inouye@abilearningcenter.com",
            "affiliation": "N",
            "endpointDescription": "Profession Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Professional Email",
            "address_1": "12637 S 265 W",
            "city": "Draper",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840205400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Infantino, DPT
• Inner Healing Therapy and Consulting
• Inner Peace Counseling of Utah
• Haylie Innes
• Innovative RX LLC
• Daniel Inouye
• Insaneability
• Insight Counseling Group
• Instant Ortho Supply, LLC
• Instant Orthopedic Care, Inc

• All providers in Draper, UT
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.