JACKSON COLE BLACK
NPI 1003667726
Behavior Technician in Concord, CA

Active since March 29, 2024
1200 CONCORD AVE STE 185, CONCORD, CA 94520(510) 268-8120 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jackson Cole Black NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON COLE BLACK (NPI 1003667726) is an individual behavior technician in Concord, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1003667726
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACKSON COLE BLACK
Location Address1200 CONCORD AVE STE 185Concord, CA 94520-4915
Mailing Address1200 Concord Ave Ste 185Concord, CA 94520-4915
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
NPI 1003667726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
1200 CONCORD AVE STE 185, Concord, CA 94520

Other Names 1

Other Name (5)Ronan Cole Black

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Analyst
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520
Behavior Technician
1200 CONCORD AVE STE 185
CONCORD, CA 94520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Black's NPI number?

The NPI number for Jackson Black is 1003667726. It was assigned to this individual provider in the NPPES registry on March 29, 2024. The provider is also known as Ronan Cole Black.

Where is Jackson Black located?

Jackson Black practices at 1200 Concord Ave Ste 185, Concord, CA 94520. The listed phone number is (510) 268-8120.

What is Jackson Black's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jackson Black was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.