Individual
RACHEL ANN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
1300 E NEW CIRCLE RD STE 150, LEXINGTON, KY 40505-9001
(859) 685-1019
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
248161
KY
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-19-35621
BCBA CERTIFICATE
—
Enumeration date
04/04/2019
Last updated
04/29/2019
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