IndividualActive
Abigail Blake, RBT
NPI 1841010501 · Behavior Technician · Jackson, TN
Provider details
- NPI number
- 1841010501
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
79 Sand Pebble Dr Ste a
Jackson, TN 38305-7591
Phone: (901) 443-9146
Approximate (ZIP-level) locationGet directions
Mailing address
83 Doe Valley Cv
Jackson, TN 38305-1988
Registry dates
- Enumerated
- 2024-10-16
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.