Tishawne Blaine
Behavior Technician in Riverbank, California
1659289494- Practice location
- 5501 Antique Rose Way, Riverbank, CA 95367-9505
- Phone
- 866-523-4268
- Fax
- —
- Last updated
- September 1, 2026
Tishawne Blaine is a Behavior Technician based in Riverbank, CA. Tishawne Blaine practices in Riverbank, CA. The NPI Number for Tishawne Blaine is 1659289494. The current practice location address for Tishawne Blaine is 5501 Antique Rose Way, Riverbank, CA 95367-9505 and can be reached out via phone at 866-523-4268.
Provider Profile Details
- NPI Number
- 1659289494
- Provider Name
- Tishawne Blaine
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5501 Antique Rose Way, Riverbank, CA 95367-9505
- Phone Number
- 866-523-4268
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 1, 2026
- Last Update Date
- September 1, 2026
- Certification Date
- September 1, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5501 Antique Rose Way
Riverbank, CA 95367-9505 - City
- Riverbank
- State
- California
- Zip
- 95367-9505
- Phone Number
- 866-523-4268
Provider Business Mailing Address Details
- Address
- 850 Towbin Ave
Lakewood, NJ 08701-5928 - City
- Lakewood
- State
- NJ
- Zip
- 08701-5928
License Information
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Behavior Technicians near Riverbank, CA
View all Behavior Technicians in Riverbank →Frequently Asked Questions
What is the NPI number of Tishawne Blaine?
The NPI number of Tishawne Blaine is 1659289494. It was assigned on September 1, 2026 and is currently active in the NPPES registry.
What is the specialty of Tishawne Blaine?
Tishawne Blaine is registered under the primary taxonomy Behavior Technician (code 106S00000X).
Where does Tishawne Blaine practice?
The practice location is 5501 Antique Rose Way, Riverbank, CA 95367-9505. The office can be reached at 866-523-4268 (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 1659289494 directly on the NPPES registry website.