Erin Therese Blair, M.ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-13618 Issued in CA

Practice address

2851 Lichen PL
Templeton, CA 93465-8339

Phone

(805) 610-6773

NPI assigned

Dec 2, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449014400000",
    "number": "1295100246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 LICHEN PL",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658339",
            "telephone_number": "805-610-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 LICHEN PL",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934658339",
            "telephone_number": "805-610-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "ERIN",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "credential": "M.ED., BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-13618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Biologics a Medical Corporation
• Niraj Bhalani, DO
• Emily Bills, MA, OTR
• Scott E Bisheff, MD
• Bethany Blacketer, M.D.
• John C Blaney, M.D.
• Ruth M Boisseree, NP
• Katrina Jo Bolduc, LM, CPM
• David Alfonso Bolivar, MD
• Martha Dandridge Bordonaro, D.C.

• All providers in Templeton, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.