Tramaine Renaldo Blash

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Phone

(866) 610-0580

NPI assigned

Apr 10, 2023

Sex

Male

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

Practice roles

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

• Sculpting Choices LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macon, GA
  • NPI 1548098833
  NPD Authorized official

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1386339901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 THOMASTON RD APT 707",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312205313",
            "telephone_number": "478-765-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 INTERNATIONAL PKWY STE 200",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465028",
            "telephone_number": "866-610-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLASH",
        "first_name": "TRAMAINE",
        "middle_name": "RENALDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Chapman Blackburn, OT
• Raya Blackwell
• Amie Blackwood, PTA
• Marc Blanc
• Kristin Vasser Blanco, APRN
• Kristina F Blaske
• Kelly Blaylock
• Blessed Home Health Care, LLC
• Aaliyah Chimere Bloise
• Bloom Mental Health and Wellness, LLC

• Behavior Technician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.