Kathleen Avena Blanco, MS, BCBA, PPSC is a
Behavior Analyst based in Nashville, Tennessee. Kathleen Avena Blanco is licensed to practice in Tennessee (license number 1-08-4027) and her current practice location is
508 Madison Street Unit 3, Nashville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(310) 561-2197.
NPI number for Kathleen Avena Blanco is 1891072559 and her current mailing address is 508 Madison Street Unit 3, Nashville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891072559.
Healthcare Provider's Profile
| Full Name | Kathleen Avena Blanco |
|---|
| Gender | Female |
|---|
| Speciality | Behavior Analyst |
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| Location | 508 Madison Street Unit 3, Nashville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891072559
- Provider Enumeration Date: 11/09/2011
- Last Update Date: 10/14/2014
Medical Identifiers
Medical identifiers for Kathleen Avena Blanco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891072559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YS0200X | Counselor - School | 101061841 (California) | Secondary |
| 103K00000X | Behavior Analyst | 1-08-4027 (California) | Secondary |
| 103K00000X | Behavior Analyst | 1-08-4027 (Michigan) | Secondary |
| 103K00000X | Behavior Analyst | 1-08-4027 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Avena Blanco is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Avena Blanco, MS, BCBA, PPSC
508 Madison Street Unit 3,
Nashville, TN 37208
Ph: (310) 561-2197 | Kathleen Avena Blanco, MS, BCBA, PPSC
508 Madison Street Unit 3,
Nashville, TN 37208
Ph: (310) 561-2197 |
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