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Kelsie Lee Embrey-bergstrom
Student in an Organized Health Care Education/Training Program in Oxnard, California
NPI 1851976740

Kelsie Lee Embrey-bergstrom is a Student in an Organized Health Care Education/Training Program based in Newbury Park, CA. Kelsie Lee Embrey-bergstrom practices in Oxnard, CA. The NPI Number for Kelsie Lee Embrey-bergstrom is 1851976740 and holds a License No. RBT-21-155990 (California).

The current practice location address for Kelsie Lee Embrey-bergstrom is 1911 Williams Dr, Oxnard, CA and can be reached out via phone at 805-981-9250.

Location: 1911 Williams Dr, Oxnard, CA, 91320-3818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851976740
Provider Name
Kelsie Lee Embrey-bergstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
1911 Williams Dr, Oxnard, CA, 91320-3818
Phone Number
805-981-9250
Fax Number
Provider Enumeration Date
03/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1911 Williams Dr
City
Oxnard
State
California
Zip
93036-2612
Phone Number
805-981-9250
Fax Number
person
Provider Business Mailing Address Details
Address
1911 Williams Dr
City
Oxnard
State
California
Zip
93036-2612
Phone Number
805-981-9250
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
RBT-21-155990 ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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