Individual provider · Type 1 NPI

Melissa Blacketer

Behavior Analyst · Rocklin, CA

NPI number 1710459508 Active

Practice location

4200 Rocklin Rd Ste 11B
Rocklin, CA 95677-2860

Call (855) 223-7123 Map

Fax (619) 374-7134

Mailing address

PO Box 740780
Atlanta, GA 30374-0780

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed
Behavior Technician 106S00000XNone listed

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 1710459508

Melissa Blacketer's National Provider Identifier is 1710459508, issued on Dec 18, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Rocklin, CA. The record was last updated on Jan 22, 2026.