Active NPI
Eboni Blackshire-Thornton
- Behavior Technician
- Virginia Beach, VA
National Provider Identifier
1417667239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910 - Phone
- (757) 301-2411
- NPI assigned
- Dec 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910
Mailing address
2008 General Booth Blvd Ste B
Virginia Beach, VA 23454-5910
Phone (757) 301-2411
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | enblackshirethornton@moliautismcenter.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669939200000",
"number": "1417667239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 GENERAL BOOTH BLVD STE B",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545910",
"telephone_number": "757-301-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2008 GENERAL BOOTH BLVD STE B",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234545910",
"telephone_number": "757-301-2411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACKSHIRE-THORNTON",
"first_name": "EBONI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-02",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "enblackshirethornton@moliautismcenter.com",
"affiliation": "N",
"endpointDescription": "business e-mail address",
"address_1": "2008 General Booth Blvd Ste B",
"city": "Virginia Beach",
"state": "VA",
"country_code": "US",
"postal_code": "234545910",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.