Healthcare Provider Details

I. General information

NPI: 1245106590
Provider Name (Legal Business Name): BEHAVIOR BLUEPRINTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4026 DAVENPORT CT
ROSEVILLE CA
95747-6373
US

IV. Provider business mailing address

4026 DAVENPORT CT
ROSEVILLE CA
95747-6373
US

V. Phone/Fax

Practice location:
  • Phone: 661-472-8876
  • Fax:
Mailing address:
  • Phone: 916-477-4383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: SHARONJEET GILL
Title or Position: OWNER
Credential: BCBA
Phone: 916-477-4383