Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689178584 Individual Practitioner Male Practitioner

Blake Henderson , BCBA, M ED

Behavior Analyst • Cerritos, CA

Professional Overview & Biography Verified Profile Summary

Blake Henderson, BCBA, M ED 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 5622619101

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: 2026-05-26
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-18-29346

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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Sarahgezelle Acholonu

Behavior Technician

NPI 1124963731
Andrea Garcia

Behavior Technician

NPI 1154972834
Emmanuel Franco

Behavior Technician

NPI 1225958259
Andrew Winstead

Behavior Technician

NPI 1386590388
Erica Lopez

Behavior Technician

NPI 1427984772
Richard Cortez

Behavior Technician

NPI 1477488237

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2026

Behavior Analyst (License #1-18-29346 in CA)

📍
Updated Practice Location April 22, 2026

Registered at 12604 HIDDENCREEK WAY STE C, CERRITOS, CA 907032137 (Tel: 5622619101)

📍
Updated Business Mailing Address April 22, 2026

Registered at PO BOX 740780, ATLANTA, GA 303740780 (Tel: 8552237123)

📍
Updated Practice Location May 08, 2023

Registered at 290 S PROSPECT AVE STE A, TUSTIN, CA 927801523 (Tel: 4156466223)

NPI Profile Active March 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2018

Registered at 3230 E IMPERIAL HWY STE 203, BREA, CA 928211706 (Tel: 6574449002)

📍
Updated Business Mailing Address March 23, 2018

Registered at 3230 E IMPERIAL HWY STE 203, BREA, CA 928211706 (Tel: 6574449002)

👤
Provider Name / Credentials Updated March 23, 2018

Recorded as BLAKE HENDERSON, BCBA, M. ED.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2018

Behavior Analyst (License #1-17-29346 in CA)

🟢
Initial NPI Registration & Enumeration March 23, 2018

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: 1689178584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2018
Last Update: May 26, 2026
Sole Proprietor: No

Mailing Address

Po Box 740780

Atlanta, GA 303740780

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.