Individual provider · Type 1 NPI

Katelyn Sidamrong

Behavior Technician · Clovis, CA

NPI number 1174449045 Active

Practice location

1420 Shaw Ave Ste 105
Clovis, CA 93611-4072

Call (559) 314-0623 Map

Mailing address

3347 E Cornell Ave
Fresno, CA 93703-1315

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XY9573509 (CA)

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 1174449045

Katelyn Sidamrong's National Provider Identifier is 1174449045, issued on Jun 25, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Clovis, CA. The record was last updated on Jun 25, 2026.