Individual provider · Type 1 NPI

Michael Etheridge

Behavior Technician · San Bruno, CA

NPI number 1992264170 Active

Practice location

751 Camino Plz Ste A
San Bruno, CA 94066-3401

Call (652) 627-8045 Map

Mailing address

390 Union Blvd Ste 300
Lakewood, CO 80228-6514

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 1992264170

Michael Etheridge's National Provider Identifier is 1992264170, issued on Mar 18, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Bruno, CA. The record was last updated on Mar 18, 2019.