Individual provider · Type 1 NPI

Kelly John Shover

Behavior Technician · Fairbanks, AK

NPI number 1619720232 Active

Practice location

1521 Hilton Ave
Fairbanks, AK 99701-4015

Mailing address

4020 Folker St
Anchorage, AK 99508-5386

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 1619720232

Kelly John Shover's National Provider Identifier is 1619720232, issued on Apr 11, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fairbanks, AK. The record was last updated on Apr 11, 2024.