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

Jessica Black

Individual provider Behavior Technician · NPI 1295474179

Jessica Black is a Behavior Technician in Garden Grove, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

12459 Lewis St Ste 201
Garden Grove, CA 92840-6606
Phone: (800) 249-1266
Show map & directions

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

Additional practice locations (1)

  • 4950 San Bernardino St Ste 101, Montclair, CA 91763-2328 — (800) 249-1266

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1295474179
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 31, 2022
Last updated in NPPESMay 30, 2025
Certification dateMay 30, 2025
Mailing address12459 Lewis St Ste 201, Garden Grove, CA 92840-6606

Other providers in Garden Grove