Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Jill Blackburn, MED, BCBA

Individual provider Behavior Analyst · NPI 1366921108

Jennifer Jill Blackburn, MED, BCBA is a Behavior Analyst in Charlotte, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2018
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

716 Marsh Rd
Charlotte, NC 28209
Phone: (704) 522-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-38078 (NC)

Record details

NPI number1366921108
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED , BCBA
Sole proprietorYes
NPI enumeratedAugust 13, 2018
Last updated in NPPESSeptember 24, 2019

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