Individual provider · Type 1 NPI

Donovan Timothy Wildfong

Behavior Technician · San Juan Capistrano, CA

NPI number 1720547508 Active

Practice location

27127 Calle Arroyo Ste 1921
San Juan Capistrano, CA 92675-2765

Call (949) 661-6753 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
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 1720547508

Donovan Timothy Wildfong's National Provider Identifier is 1720547508, issued on Mar 19, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Mar 19, 2019.