Individual provider · Type 1 NPI

Laila Mackenzie Polk

Behavior Technician · Fredericksburg, VA

NPI number 1679426274 Active

Practice location

306 Cambridge St
Fredericksburg, VA 22405-1400

Call (843) 592-8582 Map

Mailing address

115 Oakridge Dr
Ellenwood, GA 30294-2558

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-506294 (VA)

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 1679426274

Laila Mackenzie Polk's National Provider Identifier is 1679426274, issued on Feb 16, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fredericksburg, VA. The record was last updated on Feb 16, 2026.