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Ryan David Black , BCBA

Behavior Analyst β€’ Jonesborough, TN

Active NPI 1639316466 Individual Practitioner Male Practitioner
Practice location in NPPES

249 Oliver Edwards Rd
Jonesborough, TN 376596537

Call 4233417104 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

249 Oliver Edwards Rd

Jonesborough, TN 376596537

Telephone 4233417104
Fax 4237536952
Organization at the Same NPPES Address or Phone
Behavior Solutions, Llc Facility NPI 1689851883

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Chattanooga, TN. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jonesborough and Tennessee

8 active clinicians are listed under Behavior Analyst with a practice address in Jonesborough, TN (1,490 in Tennessee).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

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

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Tennessee Department of Health License Verification.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
Q021186 (TN)
Other Identifier Licensed Behavior Analyst
192 (TN)

Secondary Practice Locations

2229 Olan Mills Drive, Prolex Medical Services, Inc

Chattanooga, TN 37421

Phone: 4232964224

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location December 13, 2017

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

πŸ“
Updated Business Mailing Address December 13, 2017

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

πŸ‘€
Provider Name / Credentials Updated December 13, 2017

Recorded as RYAN BLACK, BCBA

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

Counselor

βœ…
NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 15, 2009

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

πŸ“
Business Mailing Address (Initial Record) January 15, 2009

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

πŸ‘€
Provider Name / Credentials (Initial Record) January 15, 2009

Recorded as RYAN BLACK, BCBA

πŸŽ“
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.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.