BRANDON KNICKERBOCKER
NPI 1235873399
Behavior Technician in Bridgeport, MI

Active since April 25, 2022
6296 VILLAGE SQUARE DRIVE, SUITE 2, BRIDGEPORT, MI 48722(989) 401-1239 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brandon Knickerbocker NPPES

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

BRANDON KNICKERBOCKER (NPI 1235873399) is an individual behavior technician in Bridgeport, Michigan and active in the NPI registry since April 2022. He maintains a secondary practice location in Bridgeport.

NPPES Registry Identity

NPI1235873399
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameBRANDON KNICKERBOCKER
Location Address6296 VILLAGE SQUARE DRIVE, SUITE 2Bridgeport, MI 48722
Mailing Address5039 Villa Linde Pkwy Ste 30Flint, MI 48532-3450 · (989) 401-2244
Sole ProprietorYes
Enumeration DateApril 25, 2022
NPPES CertifiedApril 9, 2022
NPI 1235873399 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.

6296 VILLAGE SQUARE DRIVE, Bridgeport, MI 48722

Secondary Practice Location 1

Location 15039 Villa Linde Parkway, Suite 30Bridgeport, MI 48722 · Phone (989) 401-1239

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE #2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE #2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE #2
BRIDGEPORT, MI 48722
Behavior Technician
6296 VILLAGE SQUARE DRIVE, SUITE 2
BRIDGEPORT, MI 48722
Occupational Therapist (Pediatrics)
6296 VILLAGE SQUARE DRIVE, SUITE #2
BRIDGEPORT, MI 48722

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235873399, enumerated as an "individual" on April 25, 2022.

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

Behavior Technician with taxonomy code 106S00000X.