Individual provider · Type 1 NPI

Mirella Isabel Baldenegro

Behavior Technician · Phoenix, AZ

NPI number 1679470058 Active

Practice location

1831 W Rose Garden Ln Ste 4
Phoenix, AZ 85027-2725

Call (602) 808-9912 Map

Mailing address

23309 N 17th Dr Ste 100
Phoenix, AZ 85027-6306

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 1679470058

Mirella Isabel Baldenegro's National Provider Identifier is 1679470058, issued on Oct 20, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 20, 2026.