Individual provider · Type 1 NPI

Gage Black

Behavior Technician · Olivehurst, CA

NPI number 1801768304 Active

Practice location

1542 9th Ave
Olivehurst, CA 95961-4404

Call (530) 799-7056 Map

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1801768304

Gage Black's National Provider Identifier is 1801768304, issued on Sep 23, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Olivehurst, CA. The record was last updated on Sep 23, 2025.