Abigail Blakley
Individual provider Active NPI Behavior Technician · Cornelius, NC
NPI 1164070488 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1164070488
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075 - Phone
- (855) 295-3276
- Fax
- (818) 241-6780
- NPI assigned
- Aug 29, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075
Mailing address
19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075
Phone (855) 295-3276
Other providers in Cornelius, NC
- Raluca Berger
- Amy Frank Bernstein
- Melissa Bielec
- Christina Blair Billman
- Renee Jacobsen Birch
- Andrew Deaton Blodgett
- Bloomstead Counseling PLLC
- Blue Heel Consulting LLC
- Bluestone Psychotherapy
- Wendyleigh Kathleen Bodick
All providers in Cornelius, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.