Individual provider · Type 1 NPI

Diane Simone Stukes, COTA/L

Behavior Technician · Augusta, GA

NPI number 1831804525 Active

Practice location

3727 Executive Center Dr
Augusta, GA 30907-2398

Call (706) 842-5330 Map

Fax (706) 842-5340

Mailing address

PO Box 2567
Augusta, GA 30903-2567

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant 224Z00000XNone listed
Behavior Technician Primary 106S00000XRBT-23-252400 (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 1831804525

Diane Simone Stukes, COTA/L's National Provider Identifier is 1831804525, issued on Jan 18, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Augusta, GA. The record was last updated on Jan 18, 2023.