What is Shane Blackman's NPI number?

Shane Blackman's National Provider Identifier (NPI) is 1750943528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shane Blackman's specialty?

Shane Blackman is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Shane Blackman located?

Shane Blackman's practice location on file with NPPES is 721 Commerce Dr, Woodbury, MN 55125-9118.

What is Shane Blackman's phone number?

The practice phone number listed in the NPPES registry for Shane Blackman is (612) 767-7222.

Is Shane Blackman's NPI active?

Yes — Shane Blackman's NPI (1750943528) is active in the NPPES registry as of the last update on 2022-06-21.

IndividualActive

Shane Blackman

NPI 1750943528 · Behavior Technician · Woodbury, MN

Shane Blackman is a Behavior Technician provider in Woodbury, MN (NPI 1750943528).

Provider details

NPI number: 1750943528
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: Yes

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(59/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 yrs 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

721 Commerce Dr

Woodbury, MN 55125-9118

Phone: (612) 767-7222

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address