DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NICKOLAS BLACKBURN RBT

MEDICARE: NICKOLAS BLACKBURN RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1821957978
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICKOLAS BLACKBURN RBT
Provider Business Mailing Address
First Line : 5816 ASHLEYANNE CIR STE 400
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-1613
Country : US
Telephone Number : 940-757-0660
Fax Number :
Provider Business Practice Location Address
First Line : 5816 ASHLEYANNE CIR STE 400
Second Line :
City : WICHITA FALLS
State : TX
Zip : 76310-1613
Country : US
Telephone Number : 940-757-0660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 01/15/2026

Similar Medicare Providers

1447337068 — STEPHANIE GANSCHOW PHARMD
Practice Location Address:
2500 E 52ND ST N , CIGNA MEDICARE SERVICES
SIOUX FALLS, SD
57104-7106
Practice Phone: 605-373-0100
Practice Fax:
1518826668 — MORGAN POPE RBT
Practice Location Address:
5816 ASHLEYANNE CIR STE 400
WICHITA FALLS, TX
76310-1613
Practice Phone: 940-757-0660
Practice Fax:
1215896378 — REINA QUILDRAN RBT
Practice Location Address:
5816 ASHLEYANNE CIR STE 400
WICHITA FALLS, TX
76310-1613
Practice Phone: 940-757-0660
Practice Fax:
1386503449 — KEIRAH WILK RBT
Practice Location Address:
5816 ASHLEYANNE CIR STE 400
WICHITA FALLS, TX
76310-1613
Practice Phone: 940-757-0660
Practice Fax:
1235096264 — ODILLIA KUNTUM
Practice Location Address:
5816 ASHLEYANNE CIR STE 400
WICHITA FALLS, TX
76310-1613
Practice Phone: 940-757-0660
Practice Fax:
1992470546 — SUCCESS ON THE SPECTRUM PPCC INC
Practice Location Address:
5816 ASHLEYANNE CIR STE 400
WICHITA FALLS, TX
76310-1613
Practice Phone: 940-692-0165
Practice Fax:

Directions to “ NICKOLAS BLACKBURN RBT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.