Bryanne Lee Blanton, BCBA, LBA, MS
Individual provider Active NPI Behavior Analyst · Brookfield, WI
NPI 1760985451 · NPPES record last updated May 2, 2023
Key facts
- NPI
- 1760985451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1091-140 (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
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1091-140 | WI | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1091-140 | WI | Yes |
Addresses
Primary practice location
150 N Sunny Slope Rd Ste 100
Brookfield, WI 53005-4806
Mailing address
N7421 Lost Nation Rd
Elkhorn, WI 53121-2639
Phone (262) 758-7192
Other providers in Brookfield, WI
- Aubrey Blahnik
- Ryan R. Blair
- Christopher Allen Blake
- Sara Blandino
- Russell Blankenburg
- Gregory Michael Blau
- Dean Thomas Blazek
- Madeline Bliske
- Blooming Buds Medicine
- Blooming Pathways Therapy LLC
All providers in Brookfield, WI · Behavior Analyst in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.