Individual provider · Type 1 NPI

Mary Kirstine Maynard

Behavior Technician · Salt Lake City, UT

NPI number 1003771502 Active

Practice location

10 W Broadway Ste 700
Salt Lake City, UT 84101-2060

Call (385) 462-8362 Map

Mailing address

541 Boulevard Apt 3
Logan, UT 84321-6436

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-498444 (UT)

Behavior Technician: 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…

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About NPI 1003771502

Mary Kirstine Maynard's National Provider Identifier is 1003771502, issued on Dec 17, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 17, 2025.