Jessica Blakley
Individual provider Active NPI Behavior Technician · Buda, TX
NPI 1245079581 · NPPES record last updated May 24, 2024
Key facts
- NPI
- 1245079581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1728 S FM 1626 Ste 200
Buda, TX 78610-4043 - Phone
- (833) 646-3222
- NPI assigned
- May 24, 2024
- 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
1728 S FM 1626 Ste 200
Buda, TX 78610-4043
Mailing address
224 W 35TH St Ste 500
New York, NY 10001-2538
Phone (833) 646-3222
Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2024. 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.