Jennifer Jill Blackburn, M. ED., BCBA
NPI 1366921108ActiveIndividual· Behavior Analyst· Charlotte, NC
Behavior Analyst (M. ED., BCBA) in Charlotte, North Carolina, licensed in NC, with an NPI issued in August 2018.
Overview
| NPI | 1366921108 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M. ED., BCBA |
| Sole proprietor | Yes |
| NPI issued | Aug 13, 2018 |
| Last updated in NPPES | Sep 24, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Analyst Primary | 103K00000X | 1-19-38078 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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