Individual provider · Type 1 NPI

Kameelah B. Fenderson

Behavior Technician · Charlotte, NC

NPI number 1629832217 Active

Practice location

1300 Baxter St
Charlotte, NC 28204-3053

Call (704) 366-1075 Map

Mailing address

41 Pacella Park Dr
Randolph, MA 02368-1755

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-22-232991 (NC)

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 1629832217

Kameelah B. Fenderson's National Provider Identifier is 1629832217, issued on Feb 13, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Charlotte, NC. The record was last updated on Jun 22, 2026.