Individual provider · Type 1 NPI

Carol Dutton Hollenberg, MFT

Behavior Technician · San Rafael, CA

NPI number 1063955771 Active

Practice location

503 D St.
San Rafael, CA 94901

Call (415) 457-5867 Map

Mailing address

503 D St Ste 4
San Rafael, CA 94901-3864

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	MFT21105 (CA)

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 1063955771

Carol Dutton Hollenberg, MFT's National Provider Identifier is 1063955771, issued on Nov 29, 2016. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Rafael, CA. The record was last updated on Nov 29, 2016.