Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lynette Bush Blackwell

Individual provider Behavior Technician · NPI 1508303116

Lynette Bush Blackwell is a Behavior Technician in Wheatley Heights, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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Practice location Address checks out

11 Willow St
Wheatley Heights, NY 11798-1829
Phone: (631) 920-6542
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (NY)

Record details

NPI number1508303116
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 21, 2017
Last updated in NPPESJanuary 21, 2017