JESSICA BLACK
NPI 1295474179
Behavior Technician in Garden Grove, CA

Active since May 31, 2022
12459 LEWIS ST STE 201, GARDEN GROVE, CA 92840(800) 249-1266 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 30, 2025, Jun 14, 2023 (2 updates tracked since 2023).

About Jessica Black NPPES

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

JESSICA BLACK (NPI 1295474179) is an individual behavior technician in Garden Grove, California and active in the NPI registry since May 2022. She maintains a secondary practice location in Montclair.

NPPES Registry Identity

NPI1295474179
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJESSICA BLACK
Location Address12459 LEWIS ST STE 201Garden Grove, CA 92840-6606
Mailing Address12459 Lewis St Ste 201Garden Grove, CA 92840-6606 · (800) 249-1266
Sole ProprietorNo
Enumeration DateMay 31, 2022
Last NPPES UpdateMay 30, 20252 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1295474179 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.
12459 LEWIS ST STE 201, Garden Grove, CA 92840

Secondary Practice Location 1

Location 14950 San Bernardino St Ste 101Montclair, CA 91763-2328 · Phone (800) 249-1266

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
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840
Behavior Technician
12459 LEWIS ST STE 201
GARDEN GROVE, CA 92840

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 Jessica Black's NPI number?

The NPI number for Jessica Black is 1295474179. It was assigned to this individual provider in the NPPES registry on May 31, 2022.

Where is Jessica Black located?

Jessica Black practices at 12459 Lewis St Ste 201, Garden Grove, CA 92840. The listed phone number is (800) 249-1266.

What is Jessica 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 Jessica Black was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.