Heather Blackall

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-67793 Issued in FL

Practice address

2228 Edelweiss Loop
Trinity, FL 34655-4945

Phone

(615) 507-5194

NPI assigned

Mar 18, 2022

Last updated

Jun 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavioral Health Field, Inc

  • Behavior Analyst
  • Peachtree City, GA
  • NPI 1851066880
  NPD (past)
• Heartlinks ABA in LLC

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1225796352
  NPD (past)
• Zoe Center for ABA and Development Services, LLC

  • Behavior Analyst
  • Columbus, GA
  • NPI 1518469220
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1306595384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 EDELWEISS LOOP",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554945",
            "telephone_number": "615-507-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 EDELWEISS LOOP",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554945",
            "telephone_number": "615-507-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKALL",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": "0-23-14396",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-23-67793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beyond Bones Health Solutions Inc.
• Laura E Bickler
• Kathy Billetta
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Seven Springs)
• Alaina Marie Bishop, MA
• Jennifer Elizabeth Blair, APRN
• Sirinat Blake, FNP
• Michel Blanco, CAA
• Todd J Bodanza, D.C.
• Michael Bodine, DO

• Behavior Analyst in Trinity, FL
• Providers in Trinity, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.