Individual provider · Type 1 NPI

Montgomery Dodge

Behavior Technician · Clarksville, AR

NPI number 1124914593 Active

Practice location

2112 W Main St
Clarksville, AR 72830-3245

Call (479) 647-3022 Map

Mailing address

3205 W Main St
Russellville, AR 72801-2301

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 1124914593

Montgomery Dodge's National Provider Identifier is 1124914593, issued on Jun 13, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Clarksville, AR. The record was last updated on Jun 13, 2025.