Individual provider · Type 1 NPI

Kalan Lis

Behavior Technician · Jacksonville, FL

NPI number 1699137455 Active

Practice location

12276 San Jose Blvd
Jacksonville, FL 32223-8628

Call (904) 830-0020 Map

Fax (706) 780-1705

Mailing address

959 17th St Ste B
Columbus, GA 31901-1984

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 1699137455

Kalan Lis's National Provider Identifier is 1699137455, issued on Mar 22, 2016. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Jacksonville, FL. The record was last updated on Nov 12, 2025.