Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SHAUN MICHAEL BLAYLOCK
NPI 1255664199
Behavior Analyst in Pomona, CA

Q: What is Shaun Blaylock's NPI number?

The NPI number for Shaun Blaylock is 1255664199. It was assigned to this individual provider in the NPPES registry on September 10, 2009.

Q: What is Shaun Blaylock's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Blaylock was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since September 10, 2009

21 RANCHO CAMINO DR STE 101-104, POMONA, CA 91766(909) 326-0662 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Shaun Michael Blaylock NPPES

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

DR. SHAUN MICHAEL BLAYLOCK (NPI 1255664199) is an individual behavior analyst provider in Pomona, California, licensed in California (1-14-10169) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1255664199

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameDR. SHAUN MICHAEL BLAYLOCK

Location Address21 RANCHO CAMINO DR STE 101-104Pomona, CA 91766-7019

Mailing AddressPo Box 740780Atlanta, GA 30374-0780 · (855) 223-7123

Phone(909) 326-0662

Sole ProprietorNo

Enumeration DateSeptember 10, 2009

Last NPPES UpdateSeptember 29, 2026

NPPES CertifiedSeptember 29, 2026

✔ NPI 1255664199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in CA · 1-14-10169

Definition

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.

21 RANCHO CAMINO DR STE 101-104, Pomona, CA 91766

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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.

JESSICA CHETH

Behavior Technician