Individual provider · Type 1 NPI

Bradley Justin Fosnot

Behavior Technician · Vancouver, WA

NPI number 1861298655 Active

Practice location

9901 NE 7th Ave Ste C116
Vancouver, WA 98685-4528

Mailing address

10115 NW Lakeshore Ave
Vancouver, WA 98685-4748

Other practice locations

  • 996 Royal Marco Way, Marco Island, FL 34145-1829 · (469) 694-1754

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XWDL242B9213B (WA)

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 1861298655

Bradley Justin Fosnot's National Provider Identifier is 1861298655, issued on Feb 21, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Vancouver, WA. The record was last updated on Feb 21, 2025.