Individual provider · Type 1 NPI

Willow Cheyenne Cousineau

Behavior Technician · Evans, GA

NPI number 1760220412 Active

Practice location

2550 Trade Center Dr Ste G
Evans, GA 30809-6167

Call (706) 723-8458 Map

Fax (706) 842-5340

Mailing address

3840 Karleen Rd
Hephzibah, GA 30815-5714

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-24-362187 (GA)

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 1760220412

Willow Cheyenne Cousineau's National Provider Identifier is 1760220412, issued on Jul 17, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Evans, GA. The record was last updated on Jan 30, 2025.