Timothy Blackburn Jr., LABA
Behavior Analyst in Worcester, Massachusetts
1154850840- Practice location
- 377 Shrewsbury St, Worcester, MA 01604-1632
- Phone
- 321-987-8348
- Fax
- —
- Last updated
- July 21, 2022
Timothy Blackburn is a Behavior Analyst based in Worcester, MA. Timothy Blackburn practices in Worcester, MA and has the professional credentials of LABA. The NPI Number for Timothy Blackburn is 1154850840. The current practice location address for Timothy Blackburn is 377 Shrewsbury St, Worcester, MA 01604-1632 and can be reached out via phone at 321-987-8348.
Provider Profile Details
- NPI Number
- 1154850840
- Provider Name
- Timothy Blackburn
- Credential
- LABA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 377 Shrewsbury St, Worcester, MA 01604-1632
- Phone Number
- 321-987-8348
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 7, 2017
- Last Update Date
- July 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 377 Shrewsbury St
Worcester, MA 01604-1632 - City
- Worcester
- State
- Massachusetts
- Zip
- 01604-1632
- Phone Number
- 321-987-8348
Provider Business Mailing Address Details
- Address
- 377 Shrewsbury St
Worcester, MA 01604-1632 - City
- Worcester
- State
- MA
- Zip
- 01604-1632
- Phone Number
- 321-987-8348
License Information
- Taxonomy
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Timothy Blackburn Jr., LABA?
The NPI number of Timothy Blackburn Jr., LABA is 1154850840. It was assigned on June 7, 2017 and is currently active in the NPPES registry.
What is the specialty of Timothy Blackburn Jr., LABA?
Timothy Blackburn Jr., LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).
Where does Timothy Blackburn Jr., LABA practice?
The practice location is 377 Shrewsbury St, Worcester, MA 01604-1632. The office can be reached at 321-987-8348 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154850840 directly on the NPPES registry website.