Individual provider · Type 1 NPI

Sage Lynn Wiederhold

Behavior Technician · Defuniak Springs, FL

NPI number 1255998019 Active

Practice location

40 State Highway 83
Defuniak Springs, FL 32433-7404

Call (850) 595-9189 Map

Fax (850) 951-0898

Mailing address

315 S 19th St Apt 504
Defuniak Springs, FL 32435-2364

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 1255998019

Sage Lynn Wiederhold's National Provider Identifier is 1255998019, issued on May 28, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Defuniak Springs, FL. The record was last updated on May 28, 2019.