Individual provider · Type 1 NPI

Cannon Tucker Ridgeway

Behavior Technician · Lithia, FL

NPI number 1508424607 Active

Practice location

5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853

Call (813) 467-9280 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 1508424607

Cannon Tucker Ridgeway's National Provider Identifier is 1508424607, issued on Jun 3, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Lithia, FL. The record was last updated on Jun 3, 2019.