Individual provider · Type 1 NPI

Lorrene Kenae Fudge

Behavior Technician · San Francisco, CA

NPI number 1649074352 Active

Practice location

621 Earl Gage Jr St
San Francisco, CA 94115-4298

Call (415) 595-8761 Map

Mailing address

1075 Creekside Ridge Dr Ste 280
Roseville, CA 95678-3504

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None 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 1649074352

Lorrene Kenae Fudge's National Provider Identifier is 1649074352, issued on Apr 2, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 2, 2025.