Imani Blalock

Behavior Technician · Long Beach, CA

Individual Active NPI

NPI number 1003564386

Practice location

4300 Long Beach Blvd Ste 100
Long Beach, CA 90807-2008
Phone
(562) 269-5143

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NPI record

NPI
1003564386
Entity type
Individual (Type 1)
Enumeration date
March 15, 2022
Last updated
August 12, 2026
Certified
August 12, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —
Behavior Technician 106S00000X — CA

Mailing address

PO Box 740780
Atlanta, GA 30374-0780
Phone
(855) 223-7123

Other practice locations (1)

  • 1333 S Mayflower Ave Ste 220, Monrovia, CA 91016-5239 · (818) 241-6780

About Imani Blalock

Imani Blalock is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 4300 Long Beach Blvd Ste 100, Long Beach, CA 90807-2008. The NPI number 1003564386 was assigned on March 15, 2022 and the record was last updated on August 12, 2026.

Frequently asked questions

What is the NPI number of Imani Blalock?

The NPI number is 1003564386.

What is the phone number of Imani Blalock?

The phone number listed for the practice location is (562) 269-5143.

Where is Imani Blalock located?

4300 Long Beach Blvd Ste 100, Long Beach, CA 90807-2008.

What is the taxonomy code for Imani Blalock?

The primary taxonomy code is 106S00000X – Behavior Technician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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