Astara Blain

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-71628 Issued in TX

Practice address

1429 W Peters Colony Rd
Carrollton, TX 75007-2774

Phone

(804) 433-0913

NPI assigned

Oct 4, 2019

Last updated

Mar 4, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Xyzaba LLC

  • Behavior Analyst
  • Carrollton, TX
  • NPI 1134869688
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1922649524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N WATTERS RD STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135346",
            "telephone_number": "469-804-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 W PETERS COLONY RD",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072774",
            "telephone_number": "804-433-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIN",
        "first_name": "ASTARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-24-71628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Bishop, COTA
• Olutosin Bisiriyu, DC
• Mary Bittle, LMFTA, PHD
• Malaika Bittock
• Akima Black
• Brennan Charles Blakemore
• Glen David Blanchard, D.D.S.
• Bridget Ann Blaylock, RDH, OMT
• William Russell Blaylock, OTR
• Kristi Sanong Bledsoe, M.S., CCC-SLP

• Behavior Analyst in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Behavior Analyst in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.