Individual provider · Type 1 NPI
My'kell Miracle Gio'vonni, RBT/QMHA
Behavior Technician · Milwaukie, OR
Practice location
2808 SE Balfour St
Milwaukie, OR 97222-6426
Fax (503) 659-5182
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | 106S00000X (OR) |
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 1316620578
My'kell Miracle Gio'vonni, RBT/QMHA's National Provider Identifier is 1316620578, issued on Aug 14, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Milwaukie, OR. The record was last updated on Oct 16, 2023.