Individual provider · Type 1 NPI

Kodi Nickerson

Behavior Technician · Vancouver, WA

NPI number 1760174494 Active

Practice location

4101 SE 192nd Ave Ste 101
Vancouver, WA 98683-1471

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

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 1760174494

Kodi Nickerson's National Provider Identifier is 1760174494, issued on May 22, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Vancouver, WA. The record was last updated on May 22, 2023.