Individual provider · Type 1 NPI

Jennifer Marie Mika, RBT-17-38602

Behavior Technician · Rockford, IL

NPI number 1639669906 Active

Practice location

2340 19th Ave
Rockford, IL 61104-5614

Call (608) 713-2296 Map

Fax (608) 713-2296

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X17-38602 (IL)

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 1639669906

Jennifer Marie Mika, RBT-17-38602's National Provider Identifier is 1639669906, issued on May 13, 2018. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Rockford, IL. The record was last updated on May 13, 2018.