Individual provider · Type 1 NPI

Vanessa Shantel Lidge

Behavior Technician · Phoenix, AZ

NPI number 1891626701 Active

Practice location

41920 N 45th Gln
Phoenix, AZ 85086-1455

Call (716) 367-8605 Map

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 1891626701

Vanessa Shantel Lidge's National Provider Identifier is 1891626701, issued on May 28, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on May 28, 2026.