Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE HENDERSON, BCBA, M. ED.
ActiveBLAKE HENDERSON, BCBA, M. ED. is a Behavior Analyst healthcare provider located in TUSTIN, California. NPI 1689178584 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · TUSTIN, CA
Registration Details
- NPI Number
- 1689178584
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2018 (8.3919309709667 yrs)
- Last Updated
- May 8, 2023
- License
-
1-17-29346 (CA)
Practice Information
- Address
-
290 S PROSPECT AVE STE ATUSTIN, CA, 927801523Browse CA providers · Browse ZIP 92780
- Phone
- 4156466223
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in TUSTIN, CA
| Name | Credential | NPI |
|---|---|---|
| REBECCA RANGEL | — | 1902097702 |
| YESENIA FLORES | PHD | 1740504828 |
| ALEJANDRA MARIA BOLIVAR | — | 1013297647 |
| SULLY REYES | — | 1720365570 |
| HSING-AN DAISY WANG | BCBA | 1023369261 |
| MANUELA O POWERS | BCBA | 1891114534 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.