Individual provider · Type 1 NPI

Destinee Aliyah Phasoukvong

Behavior Technician · Grand Rapids, MI

NPI number 1700522646 Active

Practice location

5360 Cascade Rd SE Ste 1
Grand Rapids, MI 49546-6404

Call (120) 161-6278 Map

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

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 1700522646

Destinee Aliyah Phasoukvong's National Provider Identifier is 1700522646, issued on May 11, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Grand Rapids, MI. The record was last updated on May 11, 2022.