Individual provider · Type 1 NPI

Divya Shravani Prem

Behavior Technician · Garden Grove, CA

NPI number 1689543050 Active

Practice location

12437 Lewis St Ste 101
Garden Grove, CA 92840-4673

Call (657) 444-9002 Map

Mailing address

15563 Arroyo Dr
Irvine, CA 92617-5351

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 1689543050

Divya Shravani Prem's National Provider Identifier is 1689543050, issued on Nov 3, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Garden Grove, CA. The record was last updated on Nov 3, 2025.