Individual provider · Type 1 NPI

Cristian Lizeth Prudencio

Behavior Technician · Goodyear, AZ

NPI number 1639769698 Active

Practice location

13481 W Mcdowell Rd # 400
Goodyear, AZ 85395-2720

Call (623) 471-5586 Map

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	D06869068 (AZ)

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 1639769698

Cristian Lizeth Prudencio's National Provider Identifier is 1639769698, issued on Jan 24, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Goodyear, AZ. The record was last updated on Jan 24, 2021.