Individual provider · Type 1 NPI

Amalie Kawata Fackenthal

Behavior Technician · San Mateo, CA

NPI number 1134084692 Active

Practice location

424 Peninsula Ave
San Mateo, CA 94401-1653

Call (800) 538-8365 Map

Mailing address

501 Velasco Ave Apt 3
San Francisco, CA 94134-3146

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 1134084692

Amalie Kawata Fackenthal's National Provider Identifier is 1134084692, issued on Dec 17, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Mateo, CA. The record was last updated on Dec 17, 2025.