Individual provider · Type 1 NPI

Santino James James Dominque Gonzales

Behavior Technician · Bridgport, MI

NPI number 1871199034 Active

Practice location

296 Bridgeport Village Square Drive Suite 2
Bridgport, MI 48601-7202

Mailing address

3359 Angel Dr
Saginaw, MI 48601-7202

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…

About NPI 1871199034

Santino James James Dominque Gonzales's National Provider Identifier is 1871199034, issued on Dec 11, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Bridgport, MI. The record was last updated on Dec 11, 2020.