JENNIFER JILL BLACKBURN M. ED., BCBA
NPI 1366921108
Behavior Analyst in Charlotte, NC

Q: What is Jennifer Blackburn's NPI number?

The NPI number for Jennifer Blackburn is 1366921108. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Q: What is Jennifer Blackburn's specialty?

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

Active since August 13, 2018

716 MARSH RD, CHARLOTTE, NC 28209(704) 522-9912 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2019, Aug 13, 2018 (2 updates tracked since 2018).

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About Jennifer Jill Blackburn M. Ed., Bcba NPPES

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

JENNIFER JILL BLACKBURN M. ED., BCBA (NPI 1366921108) is an individual behavior analyst provider in Charlotte, North Carolina, licensed in North Carolina (1-19-38078) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1366921108

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameJENNIFER JILL BLACKBURNCredential: M. ED., BCBA

Location Address716 MARSH RDCharlotte, NC 28209

Mailing Address716 Marsh RdCharlotte, NC 28209-1851 · (704) 522-9912

Phone(704) 522-9912

Sole ProprietorYes

Enumeration DateAugust 13, 2018

Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration

✔ NPI 1366921108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in NC · 1-19-38078

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.

716 MARSH RD, Charlotte, NC 28209

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Other Providers at the Same Location NPPES 20

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

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Behavior Analyst