JACQUAVIOUS DESHAWN BURT
NPI 1205564440
Behavior Technician in Bridgeport, MI

Active since August 14, 2022
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2, BRIDGEPORT, MI 48722(989) 401-1239 Get Directions Write a Review

NPPES record last updated: August 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacquavious Deshawn Burt NPPES

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

JACQUAVIOUS DESHAWN BURT (NPI 1205564440) is an individual behavior technician in Bridgeport, Michigan, licensed in Michigan (630356139055) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1205564440
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACQUAVIOUS DESHAWN BURT
Location Address6296 BRIDGEPORT VILLAGE SQUARE DR STE 2Bridgeport, MI 48722-9655
Mailing Address5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450 · (989) 401-2244
Sole ProprietorYes
Enumeration DateAugust 14, 2022
NPPES CertifiedAugust 14, 2022
NPI 1205564440 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 MI · 630356139055
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.

6296 BRIDGEPORT VILLAGE SQUARE DR STE 2, Bridgeport, MI 48722

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
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Analyst
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722
Behavior Analyst
6296 BRIDGEPORT VILLAGE SQUARE DR STE 2
BRIDGEPORT, MI 48722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205564440, enumerated as an "individual" on August 14, 2022.

The provider is located at 6296 BRIDGEPORT VILLAGE SQUARE DR STE 2 BRIDGEPORT, MI 48722 and the phone number is (989) 401-1239.

Behavior Technician with taxonomy code 106S00000X.