Individual provider · Type 1 NPI

Ellyse Nicole Provencio

Behavior Technician · San Antonio, TX

NPI number 1033899059 Active

Practice location

14235 Blanco Rd
San Antonio, TX 78216-7718

Call (210) 415-9626 Map

Mailing address

25102 Cooper Vly
San Antonio, TX 78255-2320

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None 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 1033899059

Ellyse Nicole Provencio's National Provider Identifier is 1033899059, issued on Jul 24, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Antonio, TX. The record was last updated on Jul 24, 2023.