Individual provider · Type 1 NPI

Charles Tidwell-Leblue

Behavior Technician · Tracy, CA

NPI number 1376466698 Active

Practice location

510 Whispering Wind Dr
Tracy, CA 95377-8119

Call (209) 642-2239 Map

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

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 1376466698

Charles Tidwell-Leblue's National Provider Identifier is 1376466698, issued on Aug 3, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Tracy, CA. The record was last updated on Aug 3, 2026.