Individual provider · Type 1 NPI

Gannon John Novak

Behavior Technician · Hudson, FL

NPI number 1912797887 Active

Practice location

13911 Lakeshore Blvd Ste 103
Hudson, FL 34667-7102

Call (727) 967-2809 Map

Fax (727) 807-6032

Mailing address

9405 Barnstead Ln
Port Richey, FL 34668-4302

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None 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 1912797887

Gannon John Novak's National Provider Identifier is 1912797887, issued on May 12, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Hudson, FL. The record was last updated on Feb 18, 2026.