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Active NPI 1467337295 Individual Practitioner Female Practitioner

Mackenzie Blake

Behavior Technician • Winston Salem, NC

Professional Overview & Biography Verified Profile Summary

Mackenzie Blake is a registered healthcare professional specializing in Behavior Technician in Winston Salem, NC. Practice services are available at 905 FRIEDBERG CHURCH RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

905 Friedberg Church Rd

Winston Salem, NC 271279803

Telephone 3362511180
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Winston Salem, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
497 Specialists

Practicing in Winston Salem, NC (13300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-10
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Brittney Crews-Hickman

Behavior Technician

NPI 1003529363
Ted Giordano

Behavior Technician

NPI 1013620368
Emma Winters , RBT

Behavior Technician

NPI 1013620384

Registered Behavior Technician

Jordan Penn , BCBA

Behavior Analyst

NPI 1023778727

Board Certified Behavior Analyst

Jordan Kennaw , RBT

Behavior Technician

NPI 1033821038

Registered Behavior Technician

Willie Carter

Behavior Technician

NPI 1063125235

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2025

Registered at 905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 271279803 (Tel: 3362511180)

📍
Updated Business Mailing Address August 11, 2025

Registered at 1101 VISTA VIEW LN APT 12, WINSTON SALEM, NC 271033141 (Tel: 8284063093)

👤
Provider Name / Credentials Updated August 11, 2025

Recorded as MACKENZIE BLAKE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Behavior Technician

🟢
Initial NPI Registration & Enumeration August 11, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467337295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2025
Last Update: August 11, 2025
Sole Proprietor: Yes

Mailing Address

1101 Vista View Ln Apt 12

Winston Salem, NC 271033141

Phone: 8284063093

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.