Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477140754 Individual Practitioner Female Practitioner

Edrie Angelyce Black

Behavior Technician • Eureka, CA

Professional Overview & Biography Verified Profile Summary

Edrie Black is a registered healthcare professional specializing in Behavior Technician in Eureka, CA. Practice services are available at 917 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

917 3rd St

Eureka, CA 955010513

Telephone 8182416780
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
75 Specialists

Practicing in Eureka, CA (172337 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: 2020-12-21
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jamie Enns , BCBA

Behavior Analyst

NPI 1003159245

Board Certified Behavior Analyst

Joana Espinoza

Behavior Technician

NPI 1003304502
Neil Nakhonchaikul

Behavior Technician

NPI 1003304544
Nicholas Seek

Behavior Technician

NPI 1003310889
Brandon Rosser

Behavior Technician

NPI 1003316282
Asiah Fortuna

Behavior Technician

NPI 1003317959

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 21, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 21, 2020

Registered at 917 3RD ST, EUREKA, CA 955010513 (Tel: 8182416780)

📍
Updated Business Mailing Address December 21, 2020

Registered at 1055 E COLORADO BLVD STE 560, PASADENA, CA 911062380

👤
Provider Name / Credentials Updated December 21, 2020

Recorded as EDRIE BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 21, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 21, 2020

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: 1477140754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 21, 2020
Last Update: December 21, 2020
Sole Proprietor: No

Mailing Address

1055 E Colorado Blvd Ste 560

Pasadena, CA 911062380

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.