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

Lynette Bush Blackwell

Individual provider Behavior Technician · NPI 1508303116

Lynette Bush Blackwell is a Behavior Technician in Wheatley Heights, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

11 Willow St
Wheatley Heights, NY 11798-1829
Phone: (631) 920-6542
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NY)

Record details

NPI number1508303116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2017
Last updated in NPPESJanuary 21, 2017
Mailing address11 Willow St, Wheatley Heights, NY 11798-1829