Blanco, Kathleen Avena

Blanco, Kathleen Avena is an sole proprietor health care provider with primary practice located at 508 Madison Street Unit 3 , Nashville TN 37208. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Blanco, Kathleen Avena can be contacted via phone (310) 561-2197.

Contact Information

Primary practice address
508 Madison Street Unit 3 Nashville TN 37208
Phone: (310) 561-2197
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 101061841 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-08-4027 California
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-08-4027 Michigan
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-08-4027 Tennessee

Profile Details

NPI number 1891072559
LBN Legal business name Blanco, Kathleen Avena
Credentials M.S., BCBA, PPSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2011
Last updated Oct 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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