Individual provider · Type 1 NPI

Nino Mamukashvili

Behavior Technician · Shelton, CT

NPI number 1689502742 Active

Practice location

1000 Bridgeport Ave Ste 405
Shelton, CT 06484-4660

Call (203) 993-6592 Map

Fax (475) 203-3328

Mailing address

8 June Ave
Norwalk, CT 06850-2535

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 1689502742

Nino Mamukashvili's National Provider Identifier is 1689502742, issued on May 11, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Shelton, CT. The record was last updated on May 11, 2026.