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BLAKE HENDERSON BCBA, M. ED.
NPI 1689178584
Behavior Analyst in Cerritos, CA

Active since March 23, 2018
12604 HIDDENCREEK WAY STE C, CERRITOS, CA 90703(562) 261-9101 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 26, 2026, Apr 22, 2026, May 8, 2023 and 1 more (4 updates tracked since 2018).

About Blake Henderson Bcba, M. Ed. NPPES

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

BLAKE HENDERSON BCBA, M. ED. (NPI 1689178584) is an individual behavior analyst provider in Cerritos, California, licensed in California (1-18-29346) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1689178584
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameBLAKE HENDERSONCredential: BCBA, M. ED.
Location Address12604 HIDDENCREEK WAY STE CCerritos, CA 90703-2137
Mailing AddressPo Box 740780Atlanta, GA 30374-0780 · (855) 223-7123
Phone(562) 261-9101
Sole ProprietorNo
Enumeration DateMarch 23, 2018
Last NPPES UpdateMay 26, 20264 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
✔ NPI 1689178584 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 · 1-18-29346
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.
12604 HIDDENCREEK WAY STE C, Cerritos, CA 90703
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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.

DAMIEKA LASLEY
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123
MIA HUDSON
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123
PERLA RODRIGUEZ
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123
RYLEY WILMOTH
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123
DONALD MICHAEL GREER
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123
MARLENA KEYSHAUNA CIARA BROOKS
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-1723
OSCAR CEREZO
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123
DEVIN AMATO
Behavior Technician
12604 HIDDENCREEK WAY STE C
CERRITOS, CA 90703
Los Angeles County (855) 223-7123

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 Blake Henderson's NPI number?

The NPI number for Blake Henderson is 1689178584. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Blake Henderson located?

Blake Henderson practices at 12604 Hiddencreek Way Ste C, Cerritos, CA 90703. The listed phone number is (562) 261-9101.

What is Blake Henderson's specialty?

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

When was this NPI record last updated?

The NPPES record for Blake Henderson was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.