MRS. LARISSA VAN WIE RBT
NPI 1487242210
Behavior Technician in Surprise, AZ

Active since January 07, 2021
15116 N COTTON LN, SURPRISE, AZ 85388(623) 322-8250(602) 485-8859 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 3, 2024, Jan 7, 2021 (2 updates tracked since 2021).

About Mrs. Larissa Van Wie Rbt NPPES

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

MRS. LARISSA VAN WIE RBT (NPI 1487242210) is an individual behavior technician in Surprise, Arizona, licensed in Arizona (RBT-21-150641) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1487242210
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMRS. LARISSA VAN WIECredential: RBT
Location Address15116 N COTTON LNSurprise, AZ 85388-9618
Mailing Address15116 N Cotton LnSurprise, AZ 85388-9618 · (623) 322-8250 · Fax (602) 485-8859
Fax(602) 485-8859
Sole ProprietorNo
Enumeration DateJanuary 7, 2021
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
NPI 1487242210 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 AZ · RBT-21-150641
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.

15116 N COTTON LN, Surprise, AZ 85388

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Occupational Therapist (Pediatrics)
15116 N COTTON LN
SURPRISE, AZ 85388
Speech-Language Pathologist
15116 N COTTON LN
SURPRISE, AZ 85388
Specialist/Technologist (Speech-Language Assistant)
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Analyst
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Specialist/Technologist (Speech-Language Assistant)
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Occupational Therapist
15116 N COTTON LN
SURPRISE, AZ 85388
Occupational Therapist
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Occupational Therapist
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Speech-Language Pathologist
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388
Behavior Technician
15116 N COTTON LN
SURPRISE, AZ 85388

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487242210, enumerated as an "individual" on January 07, 2021.

The provider is located at 15116 N COTTON LN SURPRISE, AZ 85388 and the phone number is (623) 322-8250.

Behavior Technician with taxonomy code 106S00000X.