Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blake Henderson, BCBA, MED

Individual provider Behavior Analyst · NPI 1689178584

Blake Henderson, BCBA, MED is a Behavior Analyst in Cerritos, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

12604 Hiddencreek Way Ste C
Cerritos, CA 90703-2137
Phone: (562) 261-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-18-29346 (CA)

Record details

NPI number1689178584
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA , MED
Sole proprietorNo
NPI enumeratedMarch 23, 2018
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing addressPo Box 740780, Atlanta, GA 30374-0780

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