RYAN DAVID BLACK BCBA
NPI 1639316466
Behavior Analyst in Jonesborough, TN

Q: What is Ryan Black's NPI number?

The NPI number for Ryan Black is 1639316466. It was assigned to this individual provider in the NPPES registry on January 15, 2009. The provider is also known as Ryan Black Ms, Lba, Bcba.

Q: What is Ryan Black's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Black was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since January 15, 2009

249 OLIVER EDWARDS RD, JONESBOROUGH, TN 37659(423) 341-7104(423) 753-6952 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Dec 13, 2017 (2 updates tracked since 2017).

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About Ryan David Black Bcba NPPES

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

RYAN DAVID BLACK BCBA (NPI 1639316466) is an individual behavior analyst provider in Jonesborough, Tennessee and active in the NPI registry since January 2009. He maintains a secondary practice location in Chattanooga.

NPPES Registry Identity

NPI1639316466

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameRYAN DAVID BLACKCredential: BCBA

Location Address249 OLIVER EDWARDS RDJonesborough, TN 37659-6537

Mailing Address632 Sunrise TrlSeymour, TN 37865-3308 · (865) 985-1830 · Fax (423) 753-6952

Phone(423) 341-7104

Fax(423) 753-6952

Sole ProprietorYes

Enumeration DateJanuary 15, 2009

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1639316466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

249 OLIVER EDWARDS RD, Jonesborough, TN 37659

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Other Names 1

Professional Name (2)Ryan Black Ms, Lba, Bcba

Secondary Practice Location 1

Location 12229 Olan Mills Drive, ProLex Medical Services, IncChattanooga, TN 37421 · Phone (423) 296-4224 ext. 17 · Fax (423) 296-4230

Other Identifiers 2

MedicaidQ021186TN

Other192TN · Licensed Behavior Analyst

Other Providers at the Same Location NPPES 5

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

GINGER CANTY MED

Behavior Analyst