Individual provider · Type 1 NPI

Rustyn Kelly

Behavior Technician · Broken Arrow, OK

NPI number 1194512681 Active

Practice location

308 N Aspen Ave
Broken Arrow, OK 74012-2205

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 1194512681

Rustyn Kelly's National Provider Identifier is 1194512681, issued on Apr 21, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Broken Arrow, OK. The record was last updated on Apr 21, 2025.