Individual provider · Type 1 NPI

Samuel Alexander Gallup

Behavior Technician · Bend, OR

NPI number 1952866162 Active

Practice location

19800 Village Office Ct Ste 104
Bend, OR 97702-1813

Call (541) 480-2570 Map

Mailing address

21204 SE Golden Market Ln
Bend, OR 97702-3651

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 1952866162

Samuel Alexander Gallup's National Provider Identifier is 1952866162, issued on Feb 1, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Bend, OR. The record was last updated on Feb 1, 2019.