Individual provider · Type 1 NPI

Avery Jane Fasulo

Behavior Technician · St. Petersburg, FL

NPI number 1124989298 Active

Practice location

6465 1st Ave S
St. Petersburg, FL 33707-1301

Call (813) 324-5730 Map

Fax (727) 499-5880

Mailing address

226 22nd Ave N Apt 2
St. Petersburg, FL 33704-4428

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XBACB1378482 (FL)

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 1124989298

Avery Jane Fasulo's National Provider Identifier is 1124989298, issued on Nov 19, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Nov 19, 2025.