Individual provider · Type 1 NPI

Tracy Latisha Moreno

Behavior Technician · Broken Arrow, OK

NPI number 1376485896 Active

Practice location

20426 E 47th St S
Broken Arrow, OK 74014-8825

Call (918) 282-6050 Map

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 1376485896

Tracy Latisha Moreno's National Provider Identifier is 1376485896, issued on Apr 6, 2026. 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 6, 2026.