Cunningham, Blakely Rae

Cunningham, Blakely Rae is an individual health care provider with primary practice located at 14864 County Road 433 , Tyler TX 75706-3206. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Cunningham, Blakely Rae can be contacted via phone (903) 636-7994.

Contact Information

Primary practice address
14864 County Road 433 Tyler TX 75706-3206
Phone: (903) 636-7994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X Texas
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Texas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Texas

Profile Details

NPI number 1285396515
LBN Legal business name Cunningham, Blakely Rae
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2021
Last updated Jun 29th, 2024 - about 5 months 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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