Individual provider · Type 1 NPI

Raven S. Mickle

Behavior Technician · Columbus, GA

NPI number 1124979737 Active

Practice location

2751 Warm Springs Rd, PHONE:7182155311 FAX:7188655165
Columbus, GA 31904-6858

Call (718) 215-5311 Map

Fax (718) 865-5165

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 1124979737

Raven S. Mickle's National Provider Identifier is 1124979737, issued on Feb 9, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Columbus, GA. The record was last updated on Feb 9, 2026.