Individual provider · Type 1 NPI

Avery Woldruff

Behavior Technician · Cedar Rapids, IA

NPI number 1952265142 Active

Practice location

2811 Wiley Blvd SW
Cedar Rapids, IA 52404-3228

Mailing address

1827 E Ireland Rd
South Bend, IN 46614-2845

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-24-382945 (IA)

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 1952265142

Avery Woldruff's National Provider Identifier is 1952265142, issued on Dec 11, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Cedar Rapids, IA. The record was last updated on Dec 11, 2025.