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

Brentt Blackmon

Individual provider Behavior Technician · NPI 1750951109

Brentt Blackmon is a Behavior Technician in Elk Grove, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

9412 Big Horn Blvd Ste 6
Elk Grove, CA 95758-1101
Phone: (916) 402-9007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1750951109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2021
Last updated in NPPESSeptember 15, 2021
Certification dateSeptember 15, 2021
Mailing address9412 Big Horn Blvd Ste 6, Elk Grove, CA 95758-1101

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