Individual provider · Type 1 NPI

Skylyn Rose Ridge

Behavior Technician · Kokomo, IN

NPI number 1104714674 Active

Practice location

2330 S Dixon Rd
Kokomo, IN 46902-6434

Mailing address

2785 Cason St
Lafayette, IN 47904-2843

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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 1104714674

Skylyn Rose Ridge's National Provider Identifier is 1104714674, issued on Jun 25, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Kokomo, IN. The record was last updated on Nov 6, 2025.