Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639316466 Individual Practitioner Male Practitioner

Ryan David Black , BCBA

Behavior Analyst • Jonesborough, TN

Professional Overview & Biography Verified Profile Summary

Ryan Black, BCBA is a registered healthcare professional specializing in Behavior Analyst in Jonesborough, TN. Practice services are available at 249 OLIVER EDWARDS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

249 Oliver Edwards Rd

Jonesborough, TN 376596537

Telephone 4233417104
Fax 4237536952
Associated Practice Facility / Clinic
🏢 Behavior Solutions, Llc Facility NPI 1689851883

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Jonesborough, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Jonesborough, TN (1496 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
Q021186 (TN)
Commercial Insurance / Payer ID Licensed Behavior Analyst
192 (TN)

Secondary Practice Locations

2229 Olan Mills Drive, Prolex Medical Services, Inc

Chattanooga, TN 37421

Phone: 4232964224

Practice Associates & Co-Workers

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

2 Associated Practitioners
Ginger Canty , MED

Behavior Analyst

NPI 1275799926

Master of Education

Shannon Fee

Behavior Analyst

NPI 1518356724

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 249 OLIVER EDWARDS RD, JONESBOROUGH, TN 376596537 (Tel: 4233417104)

📍
Updated Business Mailing Address December 13, 2017

Registered at 632 SUNRISE TRL, SEYMOUR, TN 378653308 (Tel: 8659851830)

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as RYAN BLACK, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Counselor

NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2009

Registered at 2229 OLAN MILLS DRIVE, PROLEX MEDICAL SERVICES, INC, CHATTANOOGA, TN 37421 (Tel: 4232964224)

📍
Updated Business Mailing Address January 15, 2009

Registered at 2229 OLAN MILLS DRIVE, PROLEX MEDICAL SERVICES, INC, CHATTANOOGA, TN 37421 (Tel: 4232964224)

👤
Provider Name / Credentials Updated January 15, 2009

Recorded as RYAN BLACK, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2009

Counselor

🟢
Initial NPI Registration & Enumeration January 15, 2009

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: 1639316466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2009
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

632 Sunrise Trl

Seymour, TN 378653308

Phone: 8659851830

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.