KOHTA KOMATSUBARA
NPI 1023850401
Behavior Technician in Champaign, IL

Active since June 07, 2024
2301 W BRADLEY AVE, CHAMPAIGN, IL 61821(574) 378-4313 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kohta Komatsubara NPPES

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

KOHTA KOMATSUBARA (NPI 1023850401) is an individual behavior technician in Champaign, Illinois and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1023850401
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKOHTA KOMATSUBARA
Location Address2301 W BRADLEY AVEChampaign, IL 61821-1849
Mailing Address215 Red Coach DrMishawaka, IN 46545-8307 · (574) 204-0116
Sole ProprietorNo
Enumeration DateJune 7, 2024
NPPES CertifiedJune 7, 2024
NPI 1023850401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
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.

2301 W BRADLEY AVE, Champaign, IL 61821

Other Providers at the Same Location NPPES 20

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

Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Assistant Behavior Analyst
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821
Behavior Technician
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kohta Komatsubara's NPI number?

The NPI number for Kohta Komatsubara is 1023850401. It was assigned to this individual provider in the NPPES registry on June 7, 2024.

Where is Kohta Komatsubara located?

Kohta Komatsubara practices at 2301 W Bradley Ave, Champaign, IL 61821. The listed phone number is (574) 378-4313.

What is Kohta Komatsubara's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kohta Komatsubara was last updated on June 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.