Individual provider · Type 1 NPI

Miranda Lynn Fogg

Behavior Technician · Holyoke, MA

NPI number 1740704741 Active

Practice location

244 Westfield Rd
Holyoke, MA 01040

Mailing address

112 Main Rd.
Westhampton, MA 01027

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 1740704741

Miranda Lynn Fogg's National Provider Identifier is 1740704741, issued on Aug 1, 2017. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Holyoke, MA. The record was last updated on Aug 1, 2017.