Individual provider · Type 1 NPI

Jada Mae Polk, RBT-25-444727

Behavior Technician · Norman, OK

NPI number 1114813565 Active

Practice location

930 Wall St
Norman, OK 73069-6319

Mailing address

1301 12th St
Maysville, OK 73057-9598

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-25-444727 (OK)

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 1114813565

Jada Mae Polk, RBT-25-444727's National Provider Identifier is 1114813565, issued on Jun 13, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Norman, OK. The record was last updated on Jun 13, 2025.