QUEEN IDEMUDIA
NPI 1255925004
Behavior Technician in Blacklick, OH

Active since February 23, 2021
1582 N WAGGONER RD, BLACKLICK, OH 43004(303) 989-8169 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Queen Idemudia NPPES

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

QUEEN IDEMUDIA (NPI 1255925004) is an individual behavior technician in Blacklick, Ohio and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1255925004
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameQUEEN IDEMUDIA
Location Address1582 N WAGGONER RDBlacklick, OH 43004-8669
Mailing Address1582 N Waggoner RdBlacklick, OH 43004-8669
Sole ProprietorNo
Enumeration DateFebruary 23, 2021
NPPES CertifiedFebruary 23, 2021
NPI 1255925004 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.

1582 N WAGGONER RD, Blacklick, OH 43004

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
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Technician
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Technician
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Technician
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Technician
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Technician
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Technician
1582 N WAGGONER RD
BLACKLICK, OH 43004
Behavior Analyst
1582 N WAGGONER RD
BLACKLICK, OH 43004

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 Queen Idemudia's NPI number?

The NPI number for Queen Idemudia is 1255925004. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Queen Idemudia located?

Queen Idemudia practices at 1582 N Waggoner Rd, Blacklick, OH 43004. The listed phone number is (303) 989-8169.

What is Queen Idemudia'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 Queen Idemudia was last updated on February 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.