Individual provider · Type 1 NPI

Jeremy Licciardo

Behavior Technician · Gardner, MA

NPI number 1982396719 Active

Practice location

19 Wright St Apt 2
Gardner, MA 01440-2937

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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 1982396719

Jeremy Licciardo's National Provider Identifier is 1982396719, issued on May 22, 2023. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Gardner, MA. The record was last updated on May 22, 2023.