Active NPI 1578935409 Individual Practitioner Female Practitioner

Susan Black , BCBA

Behavior Analyst • Cerritos, CA

Professional Overview & Biography Verified Profile Summary

Susan Black, BCBA is a registered healthcare professional specializing in Behavior Analyst in Cerritos, CA. Practice services are available at 12604 HIDDENCREEK WAY STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12604 Hiddencreek Way Ste C

Cerritos, CA 907032137

Telephone 5627604429

Associated Practice Facility / Clinic

🏢 Kidspeak Speech-Language Therapy Services Inc Facility NPI 1598357758

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Cerritos, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 8.8 Yrs

Regional Practice Density

38 Specialists

Practicing in Cerritos, CA (20508 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-13

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-15-19264

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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Secondary Practice Locations

13017 Artesia Blvd Ste D134

Cerritos, CA 907031385

Phone: 8552237123

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Jacqueline Jacobo

Behavior Technician

NPI 1003379553

Yelda Hakimi

Behavior Technician

NPI 1003438326

Joline Duenas

Behavior Technician

NPI 1013404458

Mariel Sarmiento

Behavior Technician

NPI 1013470558

Amy Steiner

Behavior Technician

NPI 1013551621

Brittany Denham

Behavior Technician

NPI 1013555044

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location November 13, 2020

Registered at 12604 HIDDENCREEK WAY STE C, CERRITOS, CA 907032137 (Tel: 5627604429)

✅

NPI Profile Active December 22, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location December 22, 2017

Registered at 13017 ARTESIA BLVD STE D134, CERRITOS, CA 907031385 (Tel: 8552237123)

📍

Updated Business Mailing Address December 22, 2017

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 8552237123)

👤

Provider Name / Credentials Updated December 22, 2017

Recorded as SUSAN BLACK, BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2017

Behavior Analyst (License #1-15-19264 in CA)

📍

Updated Practice Location October 16, 2017

Registered at 13017 ARTESIA BLVD STE D134, CERRITOS, CA 907031385 (Tel: 8552237123)

📍

Updated Business Mailing Address October 16, 2017

Registered at 16782 VON KARMAN AVE STE 11, IRVINE, CA 926062417 (Tel: 8552237123)

✅

NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 30, 2015

Registered at 15315 MAGNOLIA BLVD STE 306, SHERMAN OAKS, CA 914031172 (Tel: 8883538285)

📍

Updated Business Mailing Address October 30, 2015

Registered at 15315 MAGNOLIA BLVD STE 306, SHERMAN OAKS, CA 914031172 (Tel: 8883538285)

👤

Provider Name / Credentials Updated October 30, 2015

Recorded as SUSAN BLACK, BCBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Behavior Analyst (License #1-15-19264 in CA)

🟢

Initial NPI Registration & Enumeration October 30, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578935409

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 30, 2015

Last Update: November 13, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

16782 Von Karman Ave Ste 11

Irvine, CA 926062417

Phone: 8552237123

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.