Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Churchman

Individual provider Behavior Analyst · NPI 1861005548

Blake Churchman is a Behavior Analyst in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

319 Howard Ln
Melbourne, FL 32935-6935
Phone: (813) 361-0136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 11037263 (FL)
Behavior Analyst Taxonomy 103K00000X (FL)

Record details

NPI number1861005548
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 24, 2020
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 16, 2025
Mailing address319 Howard Ln, Melbourne, FL 32935-6935

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