Individual provider · Type 1 NPI

Jaelyn Fudge

Behavior Technician · Corona, CA

NPI number 1306794367 Active

Practice location

1280 Corona Pointe Ct Ste 106
Corona, CA 92879-1727

Call (951) 357-6926 Map

Mailing address

100 N Pacific Coast Hwy Ste 1400
El Segundo, CA 90245-5602

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 1306794367

Jaelyn Fudge's National Provider Identifier is 1306794367, issued on Mar 17, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Corona, CA. The record was last updated on Mar 17, 2026.