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Evelyn Black
NPI 1053255919 · Behavior Technician · Phoenix, AZ
Evelyn Black is a Behavior Technician provider in Phoenix, AZ (NPI 1053255919).
Provider details
- NPI number
- 1053255919
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4030 E Hazelwood St
Phoenix, AZ 85018-3745
Phone: (612) 345-0074
Street-level locationGet directions
Mailing address
945 N Central Ave
Woodmere, NY 11598-1604
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-04-20
- Certified
- 2026-04-19
Frequently asked questions
- What is Evelyn Black's NPI number?
- Evelyn Black's National Provider Identifier (NPI) is 1053255919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Evelyn Black's specialty?
- Evelyn Black is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Evelyn Black located?
- Evelyn Black's practice location on file with NPPES is 4030 E Hazelwood St, Phoenix, AZ 85018-3745.
- What is Evelyn Black's phone number?
- The practice phone number listed in the NPPES registry for Evelyn Black is (612) 345-0074.
- Is Evelyn Black's NPI active?
- Yes — Evelyn Black's NPI (1053255919) is active in the NPPES registry as of the last update on 2026-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.