Individual provider · Type 1 NPI

Jacqueline Andazola

Behavior Technician · Eagle, ID

NPI number 1932955663 Active

Practice location

738 S Bridgeway Pl Ste 150
Eagle, ID 83616-6953

Mailing address

535 Gannett Rd
Bellevue, ID 83313-5045

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 1932955663

Jacqueline Andazola's National Provider Identifier is 1932955663, issued on Apr 24, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Eagle, ID. The record was last updated on Apr 24, 2024.