SAMUEL VLADIMIR KISELMAN
NPI 1023725041
Behavior Technician in Vancouver, WA

Active since October 31, 2022
4101 SE 192ND AVE # 101, VANCOUVER, WA 98683(360) 605-1881 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel Vladimir Kiselman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL VLADIMIR KISELMAN (NPI 1023725041) is an individual behavior technician in Vancouver, Washington, licensed in Washington (WDL546BCD03B) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1023725041
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSAMUEL VLADIMIR KISELMAN
Location Address4101 SE 192ND AVE # 101Vancouver, WA 98683-1471
Mailing Address4619 Ne 112th AveVancouver, WA 98682-6698 · (206) 554-9058
Sole ProprietorNo
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 30, 2022
NPI 1023725041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in WA · WDL546BCD03B
Definition

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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

4101 SE 192ND AVE # 101, Vancouver, WA 98683

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Technician
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Technician
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Analyst
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Technician
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Technician
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Technician
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683
Behavior Technician
4101 SE 192ND AVE # 101
VANCOUVER, WA 98683

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023725041, enumerated as an "individual" on October 31, 2022.

The provider is located at 4101 SE 192ND AVE # 101 VANCOUVER, WA 98683 and the phone number is (360) 605-1881.

Behavior Technician with taxonomy code 106S00000X.