Individual provider · Type 1 NPI

Taylor Conrad, RBT

Behavior Technician · South Bend, IN

NPI number 1225791072 Active

Practice location

17390 Dugdale Dr Ste 100
South Bend, IN 46635-1512

Call (574) 400-2169 Map

Fax (317) 520-8200

Mailing address

8902 Vincennes Cir Ste G
Indianapolis, IN 46268-3019

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-21-188815 (IN)

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 1225791072

Taylor Conrad, RBT's National Provider Identifier is 1225791072, issued on Oct 19, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in South Bend, IN. The record was last updated on Jul 13, 2026.