Individual provider · Type 1 NPI

Mikenzy Fergus

Behavior Technician · Riverdale, UT

NPI number 1063144772 Active

Practice location

5202 Freeway Park Dr
Riverdale, UT 84405-4016

Call (801) 255-5131 Map

Mailing address

6013 S Redwood Rd
Taylorsville, UT 84123-5220

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 1063144772

Mikenzy Fergus's National Provider Identifier is 1063144772, issued on Jun 30, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Riverdale, UT. The record was last updated on Jun 30, 2022.