Individual provider · Type 1 NPI

Therese Mariam Kavtaradze

Behavior Technician · St. Augustine, FL

NPI number 1902591894 Active

Practice location

144 Moses Creek Blvd
St. Augustine, FL 32086-5673

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 1902591894

Therese Mariam Kavtaradze's National Provider Identifier is 1902591894, issued on Apr 7, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in St. Augustine, FL. The record was last updated on Apr 7, 2023.