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

Ellie Marie Black

Individual provider Behavior Technician · NPI 1538957162

Ellie Marie Black is a Behavior Technician in Fullerton, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2500 Nutwood Ave
Fullerton, CA 92831-3102
Phone: (229) 472-7816
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 number1538957162
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2025
Last updated in NPPESApril 25, 2025
Certification dateApril 24, 2025

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