Cynthia Reinbold Blackledge, PH.D., BCBA-D

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

100333 Issued in KY

Practice address

114 S Maple St
Winchester, KY 40391-2085

Phone

(859) 224-0834

Fax

(859) 224-0882

NPI assigned

Jan 19, 2010

Last updated

Nov 10, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• On the Move Pedatric Therapy PLLC

  • Physical Therapist
  • Lexington, KY
  • NPI 1801145628

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1841521556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MAPLE ST",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912085",
            "telephone_number": "859-224-0834",
            "fax_number": "859-224-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 S MAPLE ST",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403912085",
            "telephone_number": "859-224-0834",
            "fax_number": "859-224-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKLEDGE",
        "first_name": "CYNTHIA",
        "middle_name": "REINBOLD",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "0043",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "100333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100381930",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lacey Bentley
• Kori Bess Benton, MA, CF-SLP
• Ashtyn Bidwell, MA ED, CF-SLP
• Bio-Medical Applications of Kentucky, Inc. (Fresenius Medical Care Winchester)
• Marvin E Bishop, MD
• Amy Lee Blair, OTR
• Jeffrey D Bliffen, LSW, MA
• Kaley Bloyd, DMD
• Bluegras Dental Dre PLLC
• Bluegrass Ear Nose & Throat Clinic

• Behavior Analyst in Winchester, KY
• Providers in Winchester, KY by specialty
• Behavior Analyst in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.