Erica Marie Blackbourn, M.S., LLP, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-15-19086

Practice address

138 W Highland Rd
Suite 500-600
Howell, MI 48843-2168

Phone

(517) 376-4831

Fax

(517) 376-4833

NPI assigned

May 15, 2007

Last updated

Sep 22, 2016By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leaps and Bounds Therapy Services L.L.C.

  • Behavior Analyst
  • Howell, MI
  • NPI 1275008401
  NPD (past)
• Northern Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Lyndonville, VT
  • NPI 1164509980
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1790991073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 GENOA CIR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488439218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W HIGHLAND RD",
            "address_2": "SUITE 500-600",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432168",
            "telephone_number": "517-376-4831",
            "fax_number": "517-376-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKBOURN",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S., LLP, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301012909",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-15-19086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Bihn
• Leann Billau, L.L.M.S.W
• Jacob James Billings, OT
• Amy Binns
• Brooke Bittner-Parkkila, D.C.C
• Paula Blankenship, NP
• Stuart David Blatt, PH.D, PT
• Lee Ann Blazejewski, MPH, MBA, BSRN
• Blooming Voices Speech Therapy LLC
• Bluesky Health, PLLC (Bluesky Health)

• Behavior Analyst in Howell, MI
• Providers in Howell, MI by specialty
• Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.