Individual provider · Type 1 NPI
Sanquell-La'shae Ivory
Behavior Technician · Midway, GA
Practice location
998 Bacontown Rd
Midway, GA 31320
Fax (912) 532-2635
Mailing address
998 Bacontown Road
Midway, GA 31320
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | None 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 1700767001
Sanquell-La'shae Ivory's National Provider Identifier is 1700767001, issued on Sep 11, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Midway, GA. The record was last updated on Sep 11, 2025.