ERIN LOUISE BLACKBURN (NPI# 1821509878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821509878 |
| Entity Type | Individual |
| Full Name | ERIN LOUISE BLACKBURN |
| Practice Address |
5366 Eastern Ave Se Kentwood MI 49508-6018 |
| Mailing Address |
313 Prospect Ave Ne Apt A Grand Rapids MI 49503-3596 |
| Practice Telephone | 6166083665 |
| Mailing Telephone | 6167245225 |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2017-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154730547 | Erin Blackburn | Counselor | 2518 Wallace Ave, #2, Louisville, KY 40205-2240 | 2014-08-11 |
| 1902411317 | Erin Elizabeth Blackburn | Specialist/Technologist | 260 E Army Trail Rd Ste D, Bartlett, IL 60103-3005 | 2020-09-11 |
| 1134770530 | Erin Blackburn | Case Manager/Care Coordinator | 111 Westfall Rd, Rochester, NY 14620-4647 | 2019-09-26 |
| 1225443484 | Erin Blackburn | Pediatrics | 2901 Old Jacksonville Rd, Springfield, IL 62704-7437 | 2014-06-26 |
| 1528373255 | Erin Renee Blackburn | Nurse Practitioner | 2000 Fowler Grove Blvd Fl 3, Winter Garden, FL 34787-5050 | 2010-08-18 |
| 1043485204 | Erin L. Blackburn | Audiologist | 55 Vilcom Center Dr, Chapel Hill, NC 27514 | 2008-04-28 |
| Street Address |
5366 EASTERN AVE SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-6018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215470539 | Kathryn Fisher | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2016-11-19 |
| 1275023434 | Nicole Tamra Pavlak | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-05-14 |
| 1265922439 | Alexandra Rose Mularoni | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-05-14 |
| 1780173948 | Samantha Marie Casadonte | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-05-03 |
| 1023506458 | Julia Vogel | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-05-01 |
| 1407352610 | Jacob Tipton | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-04-05 |
| 1922501790 | Mackenzie Lynn Dunn | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-03-17 |
| 1821590530 | Lindsay Houseknecht | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-03-08 |
| 1285134734 | Selene Vizcarra | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2018-02-20 |
| 1225544406 | Brenna Rafferty | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2017-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386294643 | Diep- Kimberly Ngoc Nguyen | Behavior Technician | 5338 Wyndtree Ln Se, Kentwood, MI 49548-0836 | 2019-09-18 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1215470539 | Kathryn Fisher | Behavior Technician | 5366 Eastern Ave Se, Kentwood, MI 49508-6018 | 2016-11-19 |
| 1134676976 | Vahe Grigoryan | Behavior Technician | 1458 Brookmark St Se, Kentwood, MI 49508-6117 | 2016-09-09 |
| 1962003137 | Jacquie Dominguez | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-11-04 |
| 1306446331 | Sarah Elisabeth Olson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-10-28 |
| 1528674207 | Samantha Joy Riihimaa | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-18 |
| 1649885278 | Tyler Marcus | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-09-10 |
| 1427660117 | Cierra Jackson | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-23 |
| 1750991808 | Paige Feehery | Behavior Technician | 3361 36th St Se, Kentwood, MI 49512-2809 | 2020-08-04 |
| Find all providers in KENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.