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

Stacey Black

Individual provider Behavior Technician · NPI 1861260929

Stacey Black is a Behavior Technician in Modesto, California. Registered with an NPI since 2023.

In the registry since
2023
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Practice location Address checks out

1317 Oakdale Rd
Modesto, CA 95355-3361
Phone: (855) 581-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1861260929
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 18, 2023
Last updated in NPPESDecember 18, 2023
Certification dateDecember 18, 2023
Mailing address2080 N Tustin Ave Ste B, Santa Ana, CA 92705-7875

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