Provider Demographics
NPI:1326314865
Name:BLANKENSHIP, DAWN MARIE (BCABA)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:BLANKENSHIP
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:SEME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCABA
Mailing Address - Street 1:995 STARIGHT DR
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131
Mailing Address - Country:US
Mailing Address - Phone:330-242-0434
Mailing Address - Fax:
Practice Address - Street 1:995 STARIGHT DR
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131
Practice Address - Country:US
Practice Address - Phone:330-242-0434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst