BREANNA LOGAN CLUBB
NPI 1104547702
Behavior Technician in Mascoutah, IL

Active since September 12, 2022
522 E MAIN ST, MASCOUTAH, IL 62258(618) 566-0313 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Breanna Logan Clubb NPPES

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

BREANNA LOGAN CLUBB (NPI 1104547702) is an individual behavior technician in Mascoutah, Illinois and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1104547702
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameBREANNA LOGAN CLUBB
Location Address522 E MAIN STMascoutah, IL 62258-2240
Mailing Address605 S Benton StNew Athens, IL 62264-1608 · (618) 550-9969
Sole ProprietorNo
Enumeration DateSeptember 12, 2022
NPPES CertifiedSeptember 12, 2022
NPI 1104547702 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.
522 E MAIN ST, Mascoutah, IL 62258

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
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Technician
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Analyst
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Technician
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Technician
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Technician
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Technician
522 E MAIN ST
MASCOUTAH, IL 62258
Behavior Technician
522 E MAIN ST
MASCOUTAH, IL 62258

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 Breanna Clubb's NPI number?

The NPI number for Breanna Clubb is 1104547702. It was assigned to this individual provider in the NPPES registry on September 12, 2022.

Where is Breanna Clubb located?

Breanna Clubb practices at 522 E Main St, Mascoutah, IL 62258. The listed phone number is (618) 566-0313.

What is Breanna Clubb'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 Breanna Clubb was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.