Ryan David Black, BCBA is a
Behavior Analyst based in Jonesborough, Tennessee. Ryan David Black is licensed to practice in * (Not Available) (license number ) and his current practice location is
249 Oliver Edwards Rd, Jonesborough, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(423) 341-7104.
NPI number for Ryan David Black is 1639316466 and his current mailing address is 632 Sunrise Trl, Seymour, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639316466.
Healthcare Provider's Profile
| Full Name | Ryan David Black |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Analyst |
|---|
| Location | 249 Oliver Edwards Rd, Jonesborough, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1639316466
- Provider Enumeration Date: 01/15/2009
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Ryan David Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639316466 | NPI | - | NPPES |
| 192 | Other | TN | LICENSED BEHAVIOR ANALYST |
| Q021186 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | 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. Ryan David Black 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 |
|---|
Ryan David Black, BCBA
632 Sunrise Trl,
Seymour, TN 37865-3308
Ph: (865) 985-1830 | Ryan David Black, BCBA
249 Oliver Edwards Rd,
Jonesborough, TN 37659-6537
Ph: (423) 341-7104 |
Reviews and Comments