Bryanne Lee Blanton, BCBA, LBA, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1091-140 Issued in WI

Practice address

150 N Sunny Slope Rd Ste 100
Brookfield, WI 53005-4806

Phone

(262) 432-5660

Fax

(262) 432-5666

NPI assigned

Mar 9, 2018

Last updated

May 2, 2023By 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 1

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

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1760985451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N7421 LOST NATION RD",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531212639",
            "telephone_number": "262-758-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N SUNNY SLOPE RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054806",
            "telephone_number": "262-432-5660",
            "fax_number": "262-432-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "BRYANNE",
        "middle_name": "LEE",
        "credential": "BCBA, LBA, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "1091-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Blahnik, MS, CCC-SLP
• Ryan R. Blair
• Christopher Allen Blake, DDS
• Sara Blandino, LMT
• Russell Blankenburg, MD
• Gregory Michael Blau, D.C.
• Dean Thomas Blazek, D.C.
• Madeline Bliske, PHD
• Blooming Buds Medicine
• Blooming Pathways Therapy LLC

• Behavior Analyst in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Behavior Analyst in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.