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

Mariah Denise Blackwell, CNA

Individual provider Behavior Technician · NPI 1780445585

Mariah Denise Blackwell, CNA is a Behavior Technician in Humboldt, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2865 E Main St
Humboldt, TN 38343-3070
Phone: (721) 784-8405
Show map & directions

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

Additional practice locations (1)

  • 29639 Broad St, Bruceton, TN 38317-2203 — (925) 727-3712

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X
Behavior Technician Taxonomy 106S00000X (TN)

Record details

NPI number1780445585
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNA
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026