KISA HAZEL
NPI 1326600040
Behavior Technician in Augusta, GA

Q: What is Kisa Hazel's NPI number?

The NPI number for Kisa Hazel is 1326600040. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Kisa Hazel's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Kisa Hazel was last updated on February 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 02, 2019

3727 EXECUTIVE CENTER DR, AUGUSTA, GA 30907(706) 842-5330(706) 842-5340 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2021, Jul 2, 2019 (2 updates tracked since 2019).

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About Kisa Hazel NPPES

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

KISA HAZEL (NPI 1326600040) is an individual behavior technician in Augusta, Georgia, licensed in Georgia (RBT-19-91577) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1326600040

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameKISA HAZEL

Location Address3727 EXECUTIVE CENTER DRAugusta, GA 30907-2398

Mailing Address3736 Executive Center DrAugusta, GA 30907-2360 · (706) 842-5330 · Fax (706) 842-5340

Phone(706) 842-5330

Fax(706) 842-5340

Sole ProprietorNo

Enumeration DateJuly 2, 2019

Last NPPES UpdateFebruary 24, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2021

✔ NPI 1326600040 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 GA · RBT-19-91577

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.

3727 EXECUTIVE CENTER DR, Augusta, GA 30907

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