Individual provider · Type 1 NPI

Ellis Petronella Van Den Boogaard, MS ED., MA

Behavior Technician · San Diego, CA

NPI number 1891514824 Active

Practice location

5335 Calle Vis
San Diego, CA 92109-1920

Call (858) 882-7860 Map

Mailing address

251 Airport Rd
Oceanside, CA 92058-1201

Specialties and licenses

Taxonomy	Code	License
Behavior Technician	106S00000X	19-109521 (CA)
Behavior Technician Primary	106S00000X	23-294299 (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 1891514824

Ellis Petronella Van Den Boogaard, MS ED., MA's National Provider Identifier is 1891514824, issued on Oct 7, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Diego, CA. The record was last updated on Oct 7, 2024.