Active NPI
Bryn Blackmon
- Behavior Technician
- Youngsville, NC
National Provider Identifier
1093671372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-502446
- Practice address
- 314 Laurel Oaks Dr
Youngsville, NC 27596-2099 - Phone
- (855) 832-6727
- Fax
- (772) 675-9100
- NPI assigned
- Dec 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-502446 | NC | Primary |
Addresses
Primary practice location
314 Laurel Oaks Dr
Youngsville, NC 27596-2099
Mailing address
237 S Winstead Ave Apt N1
Rocky Mount, NC 27804-3436
Phone (252) 916-0424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-502446 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767052800000",
"number": "1093671372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 S WINSTEAD AVE APT N1",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278043436",
"telephone_number": "252-916-0424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 LAUREL OAKS DR",
"city": "YOUNGSVILLE",
"state": "NC",
"postal_code": "275962099",
"telephone_number": "855-832-6727",
"fax_number": "772-675-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKMON",
"first_name": "BRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-30",
"last_updated": "2025-12-30",
"certification_date": "2025-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "RBT-25-502446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.