Individual provider · Type 1 NPI

Blake Henderson, BCBA, M. ED.

Behavior Analyst · Cerritos, CA

NPI number 1689178584 Active

Practice location

12604 Hiddencreek Way Ste C
Cerritos, CA 90703-2137

Call (562) 261-9101 Map

Mailing address

PO Box 740780
Atlanta, GA 30374-0780

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-18-29346 (CA)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1689178584

Blake Henderson, BCBA, M. ED.'s National Provider Identifier is 1689178584, issued on Mar 23, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Cerritos, CA. The record was last updated on May 26, 2026.