CHARLETHA RENEE BLAKE
NPI 1821652827
Behavior Technician in Greensboro, NC

Active since April 24, 2019
204 MUIRS CHAPEL RD STE 136, GREENSBORO, NC 27410(336) 962-6200 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 14, 2026, Apr 24, 2019 (2 updates tracked since 2019).

  • Individual
  • Female
  • Behavior Technician

About CHARLETHA BLAKE

This page provides the complete NPI Profile along with additional information for Charletha Blake, a provider established in Greensboro, North Carolina with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1821652827 assigned on April 2019. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1821652827 Verify this NPI
Provider Name
CHARLETHA RENEE BLAKE
Gender
Female
Entity Type
Individual
Location Address
204 MUIRS CHAPEL RD STE 136 GREENSBORO, NC 27410
Location Phone
(336) 962-6200
Mailing Address
2328 MILL LN HIGH POINT, NC 27265
Is Sole Proprietor?
Yes
Enumeration Date
04-24-2019
Last Update Date
04-14-2026
Code Navigator

Location Map

Secondary Locations

  • 333 S Main St Ste 607
    Akron, OH 44308
    (330) 400-4204
  • 4401 Providence Ln
    Winston Salem, NC 27106
    (336) 896-1324

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

P020061 (NC)

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Counselor (Mental Health)
204 MUIRS CHAPEL RD STE 136
GREENSBORO, NC 27410
Counselor (Mental Health)
204 MUIRS CHAPEL RD STE 136
GREENSBORO, NC 27410
Counselor (Mental Health)
204 MUIRS CHAPEL RD STE 136
GREENSBORO, NC 27410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821652827, enumerated as an "individual" on April 24, 2019.

The provider is located at 204 MUIRS CHAPEL RD STE 136 GREENSBORO, NC 27410 and the phone number is (336) 962-6200.

Behavior Technician with taxonomy code 106S00000X.