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

Evelyn Black

Individual provider Behavior Technician · NPI 1053255919

Evelyn Black is a Behavior Technician in Phoenix, Arizona. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4030 E Hazelwood St
Phoenix, AZ 85018-3745
Phone: (612) 345-0074
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 number1053255919
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 19, 2026
Mailing address945 N Central Ave, Woodmere, NY 11598-1604

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