Individual provider · Type 1 NPI

Reegan Countryman

Behavior Technician · Granite City, IL

NPI number 1295680684 Active

Practice location

2421 Corporate Ctr Ste 100
Granite City, IL 62040-4195

Call (618) 589-5165 Map

Mailing address

711 Ofallon Troy Rd
Lebanon, IL 62254-1827

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-518368 (IL)

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 1295680684

Reegan Countryman's National Provider Identifier is 1295680684, issued on Mar 2, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Granite City, IL. The record was last updated on Mar 2, 2026.