Individual provider · Type 1 NPI

Shayla Jane Mudgett

Behavior Technician · Coon Rapids, MN

NPI number 1174355101 Active

Practice location

11791 Zea St NW Apt 203
Coon Rapids, MN 55433-6821

Call (320) 760-0767 Map

Mailing address

3401 Round Lake Blvd NW
Anoka, MN 55303-3315

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 1174355101

Shayla Jane Mudgett's National Provider Identifier is 1174355101, issued on Aug 19, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Coon Rapids, MN. The record was last updated on Aug 19, 2024.