Blankenship, Theresa A

Blankenship, Theresa A is an individual health care provider with primary practice located at 9038 Cross Park Dr Ste 105 , Knoxville TN 37923-4720. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Blankenship, Theresa A can be contacted via phone (865) 394-6612.

Contact Information

Primary practice address
9038 Cross Park Dr Ste 105 Knoxville TN 37923-4720
Phone: (865) 394-6612
Fax: (865) 315-7014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-20-111054 Tennessee
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X LABA36 Tennessee

Profile Details

NPI number 1285266924
LBN Legal business name Blankenship, Theresa A
Credentials BCABA, LABA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2020
Last updated Dec 29th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285266924 NPPES
Tennessee Other 0-22-13918 BACB
Tennessee Other RBT-20-111054 BACB

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