Individual provider · Type 1 NPI

Lydiann Mack, RBT

Behavior Technician · Fort Wayne, IN

NPI number 1376355800 Active

Practice location

12938 Coldwater Rd
Fort Wayne, IN 46845-9517

Mailing address

6966 County Road 62
St. Joe, IN 46785-9721

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-21-161705 (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 1376355800

Lydiann Mack, RBT's National Provider Identifier is 1376355800, issued on Jan 22, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 22, 2025.