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TIMOTHY BLACKBURN JR. LABA
NPI 1154850840
Behavior Analyst in Worcester, MA

Active since June 07, 2017
377 SHREWSBURY ST, WORCESTER, MA 01604(321) 987-8348 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 11, 2019, Jun 16, 2018 and 2 more (5 updates tracked since 2017).

About Timothy Blackburn Jr. Laba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY BLACKBURN JR. LABA (NPI 1154850840) is an individual behavior analyst provider in Worcester, Massachusetts and active in the NPI registry since June 2017. He maintains a secondary practice location in Marlborough.

NPPES Registry Identity

NPI1154850840
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameTIMOTHY BLACKBURN JR.Credential: LABA
Location Address377 SHREWSBURY STWorcester, MA 01604-1632
Mailing Address377 Shrewsbury StWorcester, MA 01604-1632 · (321) 987-8348
Phone(321) 987-8348
Sole ProprietorNo
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
✔ NPI 1154850840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
377 SHREWSBURY ST, Worcester, MA 01604
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Secondary Practice Location 1

Location 1225 Cedar Hill St Ste 200Marlborough, MA 01752-5900 · Phone (508) 202-0506 · Fax (508) 202-0506

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TENZIN LHAMO
Behavior Technician
377 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (508) 955-3995
ABILITY LINKS, LLC
Day Training, Developmentally Disabled Services
377 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (321) 987-8348
RELIANT HEALTH SYSTEMS, LLC
Home Health
377 SHREWSBURY ST
WORCESTER, MA 01604
Worcester County (774) 239-4062

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Blackburn's NPI number?

The NPI number for Timothy Blackburn is 1154850840. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Timothy Blackburn located?

Timothy Blackburn practices at 377 Shrewsbury St, Worcester, MA 01604. The listed phone number is (321) 987-8348.

What is Timothy Blackburn's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Timothy Blackburn was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.