BLAKE ASHLEY LEWIS BUCHANAN
NPI 1144991472
Behavior Technician in Poplar Bluff, MO

NPI Status: Active since September 27, 2021

Contact Information

2995 WARRIOR LN
POPLAR BLUFF, MO
ZIP 63901
Phone: (573) 712-2902

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  • Individual
  • Male
  • Years of Experience 4
  • Behavior Technician
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About BLAKE BUCHANAN

This page provides the complete NPI Profile along with additional information for Blake Buchanan, a provider established in Poplar Bluff, Missouri with a medical specialization in Behavior Technician and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1144991472 assigned on September 2021. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1144991472
Provider Name
BLAKE ASHLEY LEWIS BUCHANAN
Gender
Male
Entity Type
Individual
Location Address
2995 WARRIOR LN POPLAR BLUFF, MO 63901
Location Phone
(573) 712-2902
Mailing Address
2995 WARRIOR LN POPLAR BLUFF, MO 63901
Mailing Phone
(573) 712-2902
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
09-27-2021
Last Update Date
09-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA (QualChoice) - POS
  • Complete Gold - PPO
  • Complete Gold + Vision + Adult Dental - PPO
  • Complete Silver (QualChoice) - POS
  • Connected Silver - PPO
  • Connected Silver (QualChoice) - POS
  • Connected Silver (QualChoiceLife) - PPO
  • Connected Silver + Vision + Adult Dental - PPO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Central Bronze - HMO
  • Central Bronze + Vision + Adult Dental - HMO
  • Central Gold - HMO
  • Central Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Elite Bronze - PPO
  • Elite Bronze + Vision + Adult Dental - PPO
  • Elite Gold - PPO
  • Elite Gold + Vision + Adult Dental - PPO
  • Everyday Bronze - PPO
  • Everyday Bronze + Vision + Adult Dental - PPO
  • Everyday Gold - PPO
  • Everyday Gold + Vision + Adult Dental - PPO
  • Focused Silver - PPO
  • Focused Silver + Vision + Adult Dental - PPO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Blake Buchanan is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Blake Buchanan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204358146

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250319004360

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for BLAKE ASHLEY LEWIS BUCHANAN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1144991472
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21841892414
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 8 + 4 + 1 + 8 + 9 + 2 + 4 + 1 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1144991472 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194303453 ALICIA ROBIN FULLER
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1871174987 AURORA MARIE STUCKER
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1225612641 KAITLEE JADE MAYABB
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1194399311 KACI TATUM
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1871167288 MADISON RAE MCKLINTIC
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1629643077 CARRIE HILLIS
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1639747207 HANNAH LUCY-ALYSSA BOYLE
Individual
Clinic/Center (Rehabilitation)2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 686-1200
1184397218 ASHLEY ANNETTE LOUIS
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1801569710 BRANDON TYLER FELPS
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1396410478 HEATHER NICHOLE HENRY
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1205501152 TREVOR HANNER
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1003585332 JACKSON DELANEY SMOTHERS
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1184381667 PENNY MICHELLE FISHER
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1417600651 CRYSTAL YVONNIE BEARD
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1962154013 ALAYNA MARIE SCOBEY
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1073268397 TAMMY RENA FIELDS
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1003565896 ANNIE ROSE WALENDA
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1558010785 JESSICA WHITNEY HALLEY
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1942958103 AMANDA P TURNER
Individual
Case Manager/Care Coordinator2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902
1821731050 NICHOLE GAULTNEY
Individual
Behavior Technician2995 WARRIOR LN
POPLAR BLUFF, MO 63901
(573) 712-2902

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144991472, enumerated in the NPI registry as an "individual" on September 27, 2021

The provider is located at 2995 Warrior Ln Poplar Bluff, Mo 63901 and the phone number is (573) 712-2902

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

The provider has more than 4 years of experience.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).

This NPI record was last updated on September 27, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.