BROOKE MACKENZIE BLAKEMAN M.ED., BCBA, LBA - NPI 1962046870

Q: What is Brooke Blakeman's NPI number?

The NPI number for Brooke Blakeman is 1962046870. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Q: What is Brooke Blakeman'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 Brooke Blakeman was last updated on November 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Brooke Mackenzie Blakeman M.ed., Bcba, Lba NPPES

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

BROOKE MACKENZIE BLAKEMAN M.ED., BCBA, LBA (NPI 1962046870) is an individual behavior analyst provider in Phoenix, Arizona, licensed in Arizona (BEH-000484) and active in the NPI registry since November 2019. She maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1962046870

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameBROOKE MACKENZIE BLAKEMANCredential: M.ED., BCBA, LBA

Location Address7600 N 16TH ST STE 110Phoenix, AZ 85020-4446

Mailing Address7600 N 16th St Ste 110Phoenix, AZ 85020-4446 · (602) 368-3282

Phone(602) 368-3282

Sole ProprietorNo

Enumeration DateNovember 4, 2019

✔ NPI 1962046870 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 AZ · BEH-000484

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.

7600 N 16TH ST STE 110, Phoenix, AZ 85020

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Secondary Practice Location 1

Location 17600 N 16th St Ste 110Phoenix, AZ 85020-4446 · Phone (602) 368-3282

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 8

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

NICOLE BURT PH.D.

Psychologist (Clinical Child & Adolescent)