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

Jordan Blackwell

Individual provider Behavior Technician · NPI 1861046690

Jordan Blackwell is a Behavior Technician in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

730 Sunrise Ave
Roseville, CA 95661-4567
Phone: (916) 773-0211
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)

Record details

NPI number1861046690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2019
Last updated in NPPESJuly 30, 2019
Mailing address3400 Marlee Way, Rocklin, CA 95677-4701

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