Individual provider · Type 1 NPI

Matilla K. Charles

Behavior Technician · Marietta, GA

NPI number 1679372312 Active

Practice location

450 Franklin Gtwy SE
Marietta, GA 30067-7749

Call (678) 968-5019 Map

Mailing address

2500 Dallas Hwy SW Ste 202-1200
Marietta, GA 30064-2567

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 1679372312

Matilla K. Charles's National Provider Identifier is 1679372312, issued on Mar 13, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Marietta, GA. The record was last updated on Nov 6, 2025.