Individual provider · Type 1 NPI

Justin Roberto Padilla Fernandez

Behavior Technician · Port St. Lucie, FL

NPI number 1750247953 Active

Practice location

1401 SE Goldtree Dr Ste 101
Port St. Lucie, FL 34952-7584

Call (772) 212-7539 Map

Fax (772) 673-8392

Mailing address

1533 SW Del Rio Blvd
Port St. Lucie, FL 34953-1452

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-497995 (FL)

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 1750247953

Justin Roberto Padilla Fernandez's National Provider Identifier is 1750247953, issued on Dec 31, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Dec 31, 2025.