Individual provider · Type 1 NPI

Jajuana K. Lark, RBT

Behavior Technician · Phoenix, AZ

NPI number 1508704487 Active

Practice location

11225 N 28th Dr Ste C202
Phoenix, AZ 85029-5600

Mailing address

105 N Beebe St Apt 2025
Gilbert, AZ 85234-7687

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X106S00000X (AZ)

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 1508704487

Jajuana K. Lark, RBT's National Provider Identifier is 1508704487, issued on Mar 23, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 23, 2026.