BREANNA BLAKE
NPI 1871303735
Behavior Technician in Evansville, IN

NPI Status: Active since January 13, 2025

Contact Information

2504 WATERBRIDGE WAY
EVANSVILLE, IN
ZIP 47710
Phone: (812) 646-2604

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  • Individual
  • Female
  • Behavior Technician

About BREANNA BLAKE

This page provides the complete NPI Profile along with additional information for Breanna Blake, a provider established in Evansville, Indiana with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1871303735 assigned on January 2025. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1871303735
Provider Name
BREANNA BLAKE
Gender
Female
Entity Type
Individual
Location Address
2504 WATERBRIDGE WAY EVANSVILLE, IN 47710
Location Phone
(812) 646-2604
Mailing Address
11807 ALLISONVILLE RD # 522 FISHERS, IN 46038
Mailing Phone
(317) 572-5315
Is Sole Proprietor?
No
Enumeration Date
01-13-2025
Last Update Date
06-18-2025
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Location Map

Secondary Locations

  • 730 W Delaware St
    Evansville, IN 47710
    (812) 646-2604

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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1106S00000XBehavioral Health & Social Service Providers

Behavior Technician

RBT-23-254015 (IN)

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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.
1871303735
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2814160676
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 4 + 1 + 6 + 0 + 6 + 7 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1871303735 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013774934 MARIA BONILLA
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1083501548 KATHRYN JOHNSON
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1245126804 MARIAH ADCOCK RBT
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1326658626 MAKEILA SHANAE SIMMONS RBT
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1366339822 NOAH RALEIGH RBT
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1548157001 JESSICA FUCELA
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1578226544 SAMANTHA HUNTSMAN RBT
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1710874276 HOLLY WILLINGHAM
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1720975188 TATHER CARNAHAN RBT
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604
1891682357 ANNA JANE KIDD
Individual
Behavior Technician2504 WATERBRIDGE WAY
EVANSVILLE, IN 47710
(812) 646-2604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871303735, enumerated in the NPI registry as an "individual" on January 13, 2025

The provider is located at 2504 Waterbridge Way Evansville, In 47710 and the phone number is (812) 646-2604

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

This NPI record was last updated on January 13, 2025. 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.