Mark Blair

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1130 Hurricane Shoals Rd NE Ste 1800
Lawrenceville, GA 30043-4849

Phone

(470) 740-0355

NPI assigned

May 10, 2023

Sex

Male

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

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1912697392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 HURRICANE SHOALS RD NE STE 1800",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434849",
            "telephone_number": "470-740-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 HURRICANE SHOALS RD NE STE 1800",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300434849",
            "telephone_number": "470-740-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordon Blackmon, PA-C
• Carlisha Blackwell
• Mona Blackwell, FNP-BC
• Mary Blaesing
• Ghazal Blair, PHARMD
• Opal Mullings Blake, NP-C
• Maribel Blanco, R.N.
• Ursula Dawn Bland
• Susan Kaye Blank, MD
• Blessed Gardenz LLC

• Behavior Technician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Behavior Technician in Georgia

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