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Khadiesha Statum, RBT
Behavior Technician in Fayetteville, Georgia
NPI 1225608367

Khadiesha Statum is a Behavior Technician based in Indianapolis, GA. Khadiesha Statum practices in Fayetteville, GA and has the professional credentials of RBT. The NPI Number for Khadiesha Statum is 1225608367 and holds a License No. RBT-21-165427 (Georgia).

The current practice location address for Khadiesha Statum is 126 Pavilion Pkwy, Fayetteville, GA and can be reached out via phone at 770-954-8988 and via fax at 317-520-8200.

Location: 126 Pavilion Pkwy, Fayetteville, GA, 46268-6135
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225608367
Provider Name
Khadiesha Statum
Credential
RBT
Provider Entity Type
Individual
Gender
Female
Address
126 Pavilion Pkwy, Fayetteville, GA, 46268-6135
Phone Number
770-954-8988
Fax Number
317-520-8200
Provider Enumeration Date
06/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
126 Pavilion Pkwy
City
Fayetteville
State
Georgia
Zip
30214-4056
Phone Number
770-954-8988
Fax Number
317-520-8200
person
Provider Business Mailing Address Details
Address
126 Pavilion Pkwy
City
Fayetteville
State
Georgia
Zip
30214-4056
Phone Number
770-954-8988
Fax Number
317-520-8200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
RBT-21-165427 (Georgia)
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.
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