JORDAN BLACK
NPI 1083363386
Behavior Technician in Atwater, CA

Active since March 22, 2022
584 E BELLEVUE RD, ATWATER, CA 95301(559) 747-2177 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jordan Black NPPES

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

JORDAN BLACK (NPI 1083363386) is an individual behavior technician in Atwater, California and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1083363386
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJORDAN BLACK
Location Address584 E BELLEVUE RDAtwater, CA 95301-2300
Mailing Address584 E Bellevue RdAtwater, CA 95301-2300
Sole ProprietorNo
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 22, 2022
NPI 1083363386 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.
584 E BELLEVUE RD, Atwater, CA 95301

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
584 E BELLEVUE RD
ATWATER, CA 95301
Behavior Technician
584 E BELLEVUE RD
ATWATER, CA 95301
Behavior Technician
584 E BELLEVUE RD
ATWATER, CA 95301
Behavior Technician
584 E BELLEVUE RD
ATWATER, CA 95301
Behavior Technician
584 E BELLEVUE RD
ATWATER, CA 95301
Adult Companion
584 E BELLEVUE RD
ATWATER, CA 95301
Behavior Technician
584 E BELLEVUE RD
ATWATER, CA 95301
Behavior Technician
584 E BELLEVUE RD
ATWATER, CA 95301

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 Jordan Black's NPI number?

The NPI number for Jordan Black is 1083363386. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Jordan Black located?

Jordan Black practices at 584 E Bellevue Rd, Atwater, CA 95301. The listed phone number is (559) 747-2177.

What is Jordan 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 Jordan Black was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.