Individual provider · Type 1 NPI

Kaelin Tera Waller

Behavior Technician · Ann Arbor, MI

NPI number 1215828926 Active

Practice location

2900 Golfside Rd Ste 6
Ann Arbor, MI 48108-1410

Mailing address

2900 Golfside Dr Ste 6
Ann Arbor, MI 48108-1410

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-5757-958743 (MI)

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 1215828926

Kaelin Tera Waller's National Provider Identifier is 1215828926, issued on Jul 10, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Nov 2, 2026.