Individual provider · Type 1 NPI

Jered Devin Ethridge

Behavior Technician · Poplar Bluff, MO

NPI number 1407412174 Active

Practice location

2981 Kanell Blvd
Poplar Bluff, MO 63901-4008

Call (573) 712-2902 Map

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 1407412174

Jered Devin Ethridge's National Provider Identifier is 1407412174, issued on May 17, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on May 17, 2019.