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

Charles Tidwell-Leblue

Individual provider Behavior Technician · NPI 1376466698

Charles Tidwell-Leblue is a Behavior Technician in Tracy, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

510 Whispering Wind Dr
Tracy, CA 95377-8119
Phone: (209) 642-2239
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1376466698
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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