Individual provider · Type 1 NPI

Jordan Michael Petzoldt

Behavior Technician · Cape Girardeau, MO

NPI number 1942895776 Active

Practice location

1417 N Mount Auburn Rd Ste C
Cape Girardeau, MO 63701-2171

Call (573) 271-5240 Map

Mailing address

206 Oaklane Dr
Cape Girardeau, MO 63701-9549

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 1942895776

Jordan Michael Petzoldt's National Provider Identifier is 1942895776, issued on Mar 3, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Cape Girardeau, MO. The record was last updated on Mar 3, 2021.