Individual provider · Type 1 NPI

Ethan Daniel Shuford

Behavior Technician · Pooler, GA

NPI number 1508674300 Active

Practice location

100 Commerce Ct
Pooler, GA 31322-9445

Call (615) 560-6622 Map

Mailing address

163 19th Ave NW
Hickory, NC 28601-1830

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 1508674300

Ethan Daniel Shuford's National Provider Identifier is 1508674300, issued on Dec 25, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Pooler, GA. The record was last updated on Dec 25, 2024.