IndividualActive
Blake Tippitt
NPI 1003629056 · Behavior Technician · Decatur, IL
Blake Tippitt is a Behavior Technician provider in Decatur, IL (NPI 1003629056).
Provider details
- NPI number
- 1003629056
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2535 Millikin Pkwy
Decatur, IL 62526-2156
Phone: (217) 685-2549
Street-level locationGet directions
Mailing address
3921 Pintail Dr Ste B
Springfield, IL 62711-6738
Registry dates
- Enumerated
- 2025-01-31
- Last updated
- 2025-01-31
- Certified
- 2025-01-31
Frequently asked questions
- What is Blake Tippitt's NPI number?
- Blake Tippitt's National Provider Identifier (NPI) is 1003629056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Blake Tippitt's specialty?
- Blake Tippitt is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Blake Tippitt located?
- Blake Tippitt's practice location on file with NPPES is 2535 Millikin Pkwy, Decatur, IL 62526-2156.
- What is Blake Tippitt's phone number?
- The practice phone number listed in the NPPES registry for Blake Tippitt is (217) 685-2549.
- Is Blake Tippitt's NPI active?
- Yes — Blake Tippitt's NPI (1003629056) is active in the NPPES registry as of the last update on 2025-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.