Individual provider · Type 1 NPI

Keili Renee Vidales

Behavior Technician · Mentmore, NM

NPI number 1497607105 Active

Practice location

PO Box 596
Mentmore, NM 87319-0596

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…

About NPI 1497607105

Keili Renee Vidales's National Provider Identifier is 1497607105, issued on Feb 13, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Mentmore, NM. The record was last updated on Feb 13, 2026.