Individual provider · Type 1 NPI

Brock LM Grant

Behavior Technician · Eagle River, AK

NPI number 1063387553 Active

Practice location

16941 N Eagle River Loop Rd Ste 3
Eagle River, AK 99577-7824

Call (907) 206-4421 Map

Mailing address

1080 E Seneca Ave
Wasilla, AK 99654-7164

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 1063387553

Brock LM Grant's National Provider Identifier is 1063387553, issued on Oct 6, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Eagle River, AK. The record was last updated on Oct 6, 2025.