Individual provider · Type 1 NPI

Polina Rebenok

Behavior Technician · San Jose, CA

NPI number 1699320457 Active

Practice location

2075 Lincoln Ave Ste D
San Jose, CA 95125-3513

Mailing address

1055 E Colorado Blvd
Pasadena, CA 91106-2327

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 1699320457

Polina Rebenok's National Provider Identifier is 1699320457, issued on Aug 7, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Jose, CA. The record was last updated on Aug 7, 2019.