Individual provider · Type 1 NPI

Korpo Bongorlie

Behavior Technician · Gaithersburg, MD

NPI number 1760160147 Active

Practice location

134 Duvall Lane, Apt 101
Gaithersburg, MD 20877

Fax (855) 568-2494

Mailing address

3 Bethesda Metro Ctr Ste 700
Bethesda, MD 20814-6300

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 1760160147

Korpo Bongorlie's National Provider Identifier is 1760160147, issued on Jul 6, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Gaithersburg, MD. The record was last updated on Jul 6, 2023.