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Dr. Dominik Lia Keller, PHD
Behavior Technician in Southaven, Mississippi
NPI 1710627922

Dominik Lia Keller is a Behavior Technician based in Southaven, MS. Dominik Lia Keller practices in Southaven, MS and has the professional credentials of PHD. The NPI Number for Dominik Lia Keller is 1710627922 and holds a License No. 621149 (Mississippi).

The current practice location address for Dominik Lia Keller is 5915 Getwell Rd Bldg B, Southaven, MS and can be reached out via phone at 662-349-2979.

Location: 5915 Getwell Rd Bldg B, Southaven, MS, 38672-6455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710627922
Provider Name
Dominik Lia Keller
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
5915 Getwell Rd Bldg B, Southaven, MS, 38672-6455
Phone Number
662-349-2979
Fax Number
Provider Enumeration Date
03/29/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200000200 05 MS
110026265E 05 MA
institution
Provider Business Practice Location Address Details
Address
5915 Getwell Rd Bldg B
City
Southaven
State
Mississippi
Zip
38672-6455
Phone Number
662-349-2979
Fax Number
person
Provider Business Mailing Address Details
Address
5915 Getwell Rd Bldg B
City
Southaven
State
Mississippi
Zip
38672-6455
Phone Number
662-349-2979
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
School
Taxonomy
103TS0200X
License No.
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Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
621149 (Mississippi)
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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