Individual provider · Type 1 NPI

Jaedan Keovongxay

Behavior Technician · Walnut Creek, CA

NPI number 1003786351 Active

Practice location

800 S Broadway Ste 310
Walnut Creek, CA 94596-5218

Call (888) 531-8385 Map

Mailing address

1265 Inglewood Ct
Lodi, CA 95242-9128

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: 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…

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About NPI 1003786351

Jaedan Keovongxay's National Provider Identifier is 1003786351, issued on Nov 10, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Nov 10, 2025.