Individual provider · Type 1 NPI

Mary Malisa Mathew

Behavior Technician · Wheaton, IL

NPI number 1669922647 Active

Practice location

1725 S Naperville Rd Ste 110
Wheaton, IL 60189-5855

Mailing address

123 Kingfield Rd
Philadelphia, PA 19115-4024

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
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 1669922647

Mary Malisa Mathew's National Provider Identifier is 1669922647, issued on Oct 13, 2016. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Wheaton, IL. The record was last updated on Jun 21, 2021.