Individual provider · Type 1 NPI

Kayla Fanning

Behavior Technician · Portage, MI

NPI number 1699656124 Active

Practice location

5250 Lovers Ln Ste 130
Portage, MI 49002-1579

Call (269) 425-1536 Map

Mailing address

2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791

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 1699656124

Kayla Fanning's National Provider Identifier is 1699656124, issued on Sep 10, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Portage, MI. The record was last updated on Sep 10, 2025.