Blair Amber Grant, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BCBA1-23-65449 Issued in IN

Practice address

Rise Autism Therapy Services
239 E Winslow Rd
Bloomington, IN 47401

Phone

(812) 202-6001

Fax

(812) 954-0256

NPI assigned

Oct 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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.

• Yellowwood Academy

  • Behavior Analyst
  • Bloomington, IN
  • NPI 1033946918
  NPD Authorized official

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1730786807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RISE AUTISM THERAPY SERVICES",
            "address_2": "239 E WINSLOW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-887-4288",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RISE AUTISM THERAPY SERVICES",
            "address_2": "239 E WINSLOW RD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47401",
            "telephone_number": "812-202-6001",
            "fax_number": "812-954-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "BLAIR",
        "middle_name": "AMBER",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-05-14",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-19-106721",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "BCBA1-23-65449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Graham, RBT
• Inesha Graham, RBT
• Kathryn Gramlich, NP
• Alison Marie Granger, MAT, ATC, LAT
• Ann Z Granicz, D.M.D.
• Lacey Michelle Grant, LMHC
• Patricia L Grant, PT
• Evan M Graper, RBT
• Anthony L Grasch, PA-C
• Erin Elizabeth Gratzer, MS, CCC-SLP

• Behavior Analyst in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.