MR. KENNETH MICHAEL PUCCINI
NPI 1780259234
Behavior Technician in Valdosta, GA

Active since May 26, 2021
2704 N OAK ST BLDG A1, VALDOSTA, GA 31602(229) 474-4384 Get Directions Write a Review

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

About Mr. Kenneth Michael Puccini NPPES

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

MR. KENNETH MICHAEL PUCCINI (NPI 1780259234) is an individual behavior technician in Valdosta, Georgia, licensed in Georgia (062116851) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1780259234
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. KENNETH MICHAEL PUCCINI
Location Address2704 N OAK ST BLDG A1Valdosta, GA 31602-5901
Mailing Address2704 N Oak St Bldg A1Valdosta, GA 31602-5901 · (229) 474-4384
Sole ProprietorNo
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1780259234 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 · 062116851
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.

2704 N OAK ST BLDG A1, Valdosta, GA 31602

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Behavior Technician
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Behavior Analyst
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Behavior Technician
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Behavior Technician
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Behavior Technician
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Psychologist
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602
Behavior Technician
2704 N OAK ST BLDG A1
VALDOSTA, GA 31602

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 Kenneth Puccini's NPI number?

The NPI number for Kenneth Puccini is 1780259234. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Kenneth Puccini located?

Kenneth Puccini practices at 2704 N Oak St Bldg A1, Valdosta, GA 31602. The listed phone number is (229) 474-4384.

What is Kenneth Puccini'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 Kenneth Puccini was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.