MR. TERRELL W LIEDSTRAND
NPI 1093385734
Behavior Technician in Stockton, CA

Active since June 25, 2021
1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207(510) 338-2351 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Terrell W Liedstrand NPPES

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

MR. TERRELL W LIEDSTRAND (NPI 1093385734) is an individual behavior technician in Stockton, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1093385734
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. TERRELL W LIEDSTRAND
Location Address1811 GRAND CANAL BLVD STE 2Stockton, CA 95207-8107
Mailing Address500 Fairway Dr Ste 102Deerfield Beach, FL 33441-1817 · (877) 418-2978 · Fax (866) 500-2186
Sole ProprietorNo
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1093385734 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.

1811 GRAND CANAL BLVD STE 2, Stockton, CA 95207

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 Analyst
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Analyst
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Behavior Technician
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207

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 Terrell Liedstrand's NPI number?

The NPI number for Terrell Liedstrand is 1093385734. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Terrell Liedstrand located?

Terrell Liedstrand practices at 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207. The listed phone number is (510) 338-2351.

What is Terrell Liedstrand'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 Terrell Liedstrand was last updated on June 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.