Individual provider · Type 1 NPI

Kathryn Michelle Widmer

Behavior Technician · Jacksonville, FL

NPI number 1932071214 Active

Practice location

12735 Gran Bay Pkwy W Ste 204
Jacksonville, FL 32258-4499

Call (888) 754-0398 Map

Mailing address

7800 Point Meadows Dr Apt 1531
Jacksonville, FL 32256-4630

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 1932071214

Kathryn Michelle Widmer's National Provider Identifier is 1932071214, issued on Sep 18, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Jacksonville, FL. The record was last updated on Sep 18, 2025.