Individual provider · Type 1 NPI

Madalyn Grace Vlasblom I

Behavior Technician · Santa Rosa, CA

NPI number 1811802416 Active

Practice location

1554 Alegra St
Santa Rosa, CA 95403-7664

Call (810) 962-7020 Map

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 1811802416

Madalyn Grace Vlasblom I's National Provider Identifier is 1811802416, issued on Aug 18, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 18, 2026.