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

Bruce Ellis Black II

Individual provider Behavior Analyst · NPI 1891256491

Bruce Ellis Black II is a Behavior Analyst in Woodbridge, Virginia. Licensed in Virginia. Registered with an NPI since 2019.

Licensed in
VA
In the registry since
2019

Practice location Address checks out

12731 Marblestone Dr Ste 101
Woodbridge, VA 22192-8334
Phone: (571) 589-0201
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (VA)

Record details

NPI number1891256491
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019

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