IndividualActive
Jessica Black
NPI 1295474179 · Behavior Technician · Garden Grove, CA
Jessica Black is a Behavior Technician provider in Garden Grove, CA (NPI 1295474179).
Provider details
- NPI number
- 1295474179
- 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
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
12459 Lewis St Ste 201
Garden Grove, CA 92840-6606
Phone: (800) 249-1266
Street-level locationGet directions
Mailing address
12459 Lewis St Ste 201
Garden Grove, CA 92840-6606
Additional practice locations (1)
- 4950 San Bernardino St Ste 101Montclair, CA 91763-2328Phone: (800) 249-1266
Registry dates
- Enumerated
- 2022-05-31
- Last updated
- 2025-05-30
- Certified
- 2025-05-30
Frequently asked questions
- What is Jessica Black's NPI number?
- Jessica Black's National Provider Identifier (NPI) is 1295474179, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Black's specialty?
- Jessica Black is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jessica Black located?
- Jessica Black's practice location on file with NPPES is 12459 Lewis St Ste 201, Garden Grove, CA 92840-6606.
- What is Jessica Black's phone number?
- The practice phone number listed in the NPPES registry for Jessica Black is (800) 249-1266.
- Is Jessica Black's NPI active?
- Yes — Jessica Black's NPI (1295474179) is active in the NPPES registry as of the last update on 2025-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.