Individual provider · Type 1 NPI

Blayne Keith Milburn

Behavior Technician · Los Angeles, CA

NPI number 1619243045 Active

Practice location

1353 N Fuller Ave Ph 2
Los Angeles, CA 90046-4996

Call (541) 218-7576 Map

Fax (213) 277-4944

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Behavior Technician Primary 106S00000XRBT-17-38754 (CA)

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 1619243045

Blayne Keith Milburn's National Provider Identifier is 1619243045, issued on Mar 29, 2012. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 12, 2024.