Individual provider · Type 1 NPI

Mira Periasamy

Behavior Technician · Fairfield, CA

NPI number 1225817281 Active

Practice location

796 Dogwood Cir
Fairfield, CA 94533-1457

Mailing address

616 Butcher Rd
Vacaville, CA 95687

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 1225817281

Mira Periasamy's National Provider Identifier is 1225817281, issued on Sep 27, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fairfield, CA. The record was last updated on Oct 1, 2025.