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BLANK SLATE BEHAVIOR, LLC
NPI 1558916015
Behavior Analyst in Golden, CO

Active since August 01, 2019
42 S HOLMAN WAY APT 3F, GOLDEN, CO 80401(303) 505-9906 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Blank Slate Behavior, Llc NPPES

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

BLANK SLATE BEHAVIOR, LLC (NPI 1558916015) is a healthcare organization registered as a behavior analyst in Golden, Colorado and active in the NPI registry since August 2019. The organization lists Jennifer Lee Blankenship, Ceo, as its authorized official.

NPPES Registry Identity

NPI1558916015
Entity TypeOrganization
Primary Taxonomy103K00000X
Legal Business NameBLANK SLATE BEHAVIOR, LLC
Location Address42 S HOLMAN WAY APT 3FGolden, CO 80401-5155
Mailing Address42 S Holman Way Apt 3fGolden, CO 80401-5155 · (303) 505-9906
Phone(303) 505-9906
Organization SubpartNo
Authorized OfficialJennifer Lee BlankenshipCeo · (303) 505-9906
Enumeration DateAugust 1, 2019
✔ NPI 1558916015 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.
42 S HOLMAN WAY APT 3F, Golden, CO 80401
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Other Identifiers 1

Medicaid1811294408CO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Blank Slate Behavior, LLC's NPI number?

The NPI number for Blank Slate Behavior, LLC is 1558916015. It was assigned to this organization in the NPPES registry on August 1, 2019.

Where is Blank Slate Behavior, LLC located?

Blank Slate Behavior, LLC is located at 42 S Holman Way Apt 3F, Golden, CO 80401. The listed phone number is (303) 505-9906.

What is Blank Slate Behavior, LLC'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 Blank Slate Behavior, LLC was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.