KENNETH DONOVAN HOLMBECK
NPI 1053993774
Behavior Technician in Medford, OR

Active since April 22, 2021
3709 CITATION WAY, MEDFORD, OR 97504(541) 500-6532 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth Donovan Holmbeck NPPES

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

KENNETH DONOVAN HOLMBECK (NPI 1053993774) is an individual behavior technician in Medford, Oregon and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1053993774
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameKENNETH DONOVAN HOLMBECK
Location Address3709 CITATION WAYMedford, OR 97504-9022
Mailing Address21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807 · (818) 345-2345
Sole ProprietorNo
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
NPI 1053993774 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.
3709 CITATION WAY, Medford, OR 97504

Other Providers at the Same Location NPPES

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

Behavior Analyst
3709 CITATION WAY
MEDFORD, OR 97504

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 Kenneth Holmbeck's NPI number?

The NPI number for Kenneth Holmbeck is 1053993774. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Kenneth Holmbeck located?

Kenneth Holmbeck practices at 3709 Citation Way, Medford, OR 97504. The listed phone number is (541) 500-6532.

What is Kenneth Holmbeck'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 Kenneth Holmbeck was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.