Individual provider · Type 1 NPI

Nathaniel Polussa

Behavior Technician · San Jose, CA

NPI number 1760047435 Active

Practice location

1922 The Alameda Ste 425
San Jose, CA 95126-1453

Call (510) 679-3545 Map

Mailing address

777 N 4th St
San Jose, CA 95112-5015

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 1760047435

Nathaniel Polussa's National Provider Identifier is 1760047435, issued on May 7, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Jose, CA. The record was last updated on May 7, 2019.