Individual provider · Type 1 NPI

Breanna Nicole Hickenbottom

Behavior Technician · Phoenix, AZ

NPI number 1851224588 Active

Practice location

20601 N 19th Ave Ste 100
Phoenix, AZ 85027-2666

Call (888) 754-0398 Map

Mailing address

110 W Bell Rd Apt 230
Phoenix, AZ 85023-7493

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 1851224588

Breanna Nicole Hickenbottom's National Provider Identifier is 1851224588, issued on Jun 3, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jun 3, 2026.