Individual provider · Type 1 NPI

Destiny Sakura Sisowath

Behavior Technician · Fresno, CA

NPI number 1871306423 Active

Practice location

5377 N Fresno St Ste 103
Fresno, CA 93710-6875

Call (877) 418-2978 Map

Mailing address

350 Fairway Dr Ste 101
Deerfield Beach, FL 33441-1834

Other practice locations

  • 530 E Herndon Ave Ste 105, Fresno, CA 93720-2990 · (855) 223-7123
  • 7339 N 1st St, Fresno, CA 93720-2954 · (855) 223-7123

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-424934 (CA)

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 1871306423

Destiny Sakura Sisowath's National Provider Identifier is 1871306423, issued on Jan 28, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fresno, CA. The record was last updated on May 11, 2026.