Individual provider · Type 1 NPI

Mirinda Marie Detloff

Behavior Technician · Dallas, TX

NPI number 1306336532 Active

Practice location

6803 Hillcrest Ave
Dallas, TX 75205-1308

Call (855) 223-7123 Map

Mailing address

16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Behavior Technician Primary	106S00000X	None 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 1306336532

Mirinda Marie Detloff's National Provider Identifier is 1306336532, issued on May 14, 2018. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Dallas, TX. The record was last updated on Jul 6, 2021.