Individual provider · Type 1 NPI

Faith Self

Behavior Technician · Salem, IL

NPI number 1639086523 Active

Practice location

400 S Pruyn St
Salem, IL 62881-1825

Call (618) 231-5528 Map

Mailing address

5005 Cross Rd
Salem, IL 62881-7005

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 1639086523

Faith Self's National Provider Identifier is 1639086523, issued on Aug 26, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Salem, IL. The record was last updated on Aug 26, 2026.