Amanda Blair

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2760 Fieldstone Rd
Colorado Springs, CO 80919-3100

Phone

(719) 203-6903

NPI assigned

Sep 11, 2018

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

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1679056162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 PACIFIC DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809103928",
            "telephone_number": "505-238-7853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 FIELDSTONE RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193100",
            "telephone_number": "719-203-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Blagg, LMT
• Kristyn Blahnik, MA, BCBA
• Jade Blain
• Blair Vision Care, LLC
• Suzanne Patricia Blair-Rodgers, D.C.
• Emma Blair, LPCC
• Emma Murphy Blair
• Jason F Blair, FNP-C
• Jennifer Kristen Blair, CSFA
• Kathryn Anne Blair, APRN BC FNP

• Behavior Technician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Behavior Technician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.