Shauna Marie Blady

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1118 Issued in TN

Practice address

315 Deaderick St FL 17
Nashville, TN 37238-3000

Phone

(877) 264-6747

NPI assigned

Aug 12, 2020

Last updated

Jun 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1811508955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 89TH ST STE 306",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940151656",
            "telephone_number": "877-264-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 DEADERICK ST FL 17",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372383000",
            "telephone_number": "877-264-6747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329016982",
            "country_code": "US",
            "telephone_number": "321-674-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLADY",
        "first_name": "SHAUNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Lynn Blackwell, OTD, OTR/L
• Janet Gwen Blackwell, M.D.
• Jessica Blackwell, LPC-MHSP (TEMP)
• Nicki Blackwell
• Scott Blackwell, DO
• Sean Blaeser, RPH, PHARMD
• Matthew Scott Blagg, STUDENT
• Johanna Elena Blagoie, MD
• Jessica Lamont Blagys, DNP
• Allison Marie Blair, SLP

• Behavior Analyst in Nashville, TN
• Providers in Nashville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; 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.