BROOKE MACKENZIE BLAKEMAN (NPI# 1962046870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962046870 |
| Entity Type | Individual |
| Full Name | BROOKE MACKENZIE BLAKEMAN |
| Credential | M.ED., BCBA, LBA |
| Practice Address |
7600 N 16th St Ste 110 Phoenix AZ 85020-4446 |
| Practice Telephone | 6023683282 |
| Mailing Telephone | 6023683282 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | BEH-000484 | AZ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7600 N 16th St Ste 110, Phoenix, AZ 850204446 | 6023683282 |
| Street Address |
7600 N 16TH ST STE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-4446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457501876 | Joseph A Gentry | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2008-09-22 |
| 1134781487 | Anne Terese Yslas | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-07-07 |
| 1144789652 | Tera Cawley Donegan | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-03-14 |
| 1811456403 | Taryn Snyder | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2019-03-13 |
| 1053805325 | Nicole Burt | Psychologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2018-06-19 |
| 1528574365 | Cierra Patricia Miller | Behavioral Analyst | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2017-12-15 |
| 1821527979 | Kathryn Marie Severson | Speech-Language Pathologist | 7600 N 16th St Ste 110, Phoenix, AZ 85020-4446 | 2017-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
| Find all providers in zip 85020 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773643 | Athra Khdaier | Behavioral Analyst | 10873 W Devonshire Ave, Phoenix, AZ 85037-5760 | 2020-09-04 |
| 1730793076 | Shelby Leinweber | Behavioral Analyst | 2095 W Pinnacle Peak Rd Ste 110b, Phoenix, AZ 85027-1247 | 2020-09-03 |
| 1821609413 | Sonoran Learning and Behavioral Services LLC | Behavioral Analyst | 34225 N 27th Dr Bldg 4b, Phoenix, AZ 85085-6087 | 2020-08-17 |
| 1225657547 | Az Sprout Mc 1 LLC | Behavioral Analyst | 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640 | 2020-04-16 |
| 1053953943 | Katelyn Paige Brown | Behavioral Analyst | 4602 E University Dr Ste 130, Phoenix, AZ 85034-7430 | 2019-10-11 |
| 1487204087 | Elizabeth Vos | Behavioral Analyst | 2025 N 3rd St Ste 250, Phoenix, AZ 85004-1472 | 2019-09-16 |
| 1740832831 | Brandon Nehus | Behavioral Analyst | 14603 Old York Rd, Phoenix, MD 21131-1441 | 2019-07-10 |
| 1689137309 | Dylan Marks | Behavioral Analyst | 1117 E Beryl Ave, Phoenix, AZ 85020-1539 | 2019-04-09 |
| 1295297968 | Michelle Taylor | Behavioral Analyst | 1625 W Pecan Rd, Phoenix, AZ 85041-4640 | 2019-04-02 |
| 1275038713 | Jamilah Amirah | Behavioral Analyst | 11024 N 28th Dr Ste 110, Phoenix, AZ 85029 | 2018-03-27 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on BROOKE MACKENZIE BLAKEMAN.
| 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.