Individual provider · Type 1 NPI

Loolo Grace Jack

Behavior Technician · Atlanta, GA

NPI number 1093504235 Active

Practice location

260 Peachtree St NW Ste 2200
Atlanta, GA 30303-1292

Call (877) 418-2978 Map

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

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 1093504235

Loolo Grace Jack's National Provider Identifier is 1093504235, issued on May 5, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Atlanta, GA. The record was last updated on May 5, 2025.