Khaila Blassingame

Individual provider Active NPI Behavior Technician · Washington, DC

NPI 1295548980 · NPPES record last updated Jan 28, 2025

Key facts

NPI
1295548980
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304
Phone
(833) 599-2560
NPI assigned
Jan 28, 2025
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)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

1050 Connecticut Ave NW Ste 500
Washington, DC 20036-5304

Mailing address

850 Towbin Ave
Lakewood, NJ 08701-5928

Other providers in Washington, DC

All providers in Washington, DC · Behavior Technician in District of Columbia

Sources for this page

Verify at the official NPI Registry.