Individual provider · Type 1 NPI

Samantha Dawn Roark

Behavior Technician · Kokomo, IN

NPI number 1760335251 Active

Practice location

2936 N Delphos St
Kokomo, IN 46901-1557

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 1760335251

Samantha Dawn Roark's National Provider Identifier is 1760335251, issued on Feb 16, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Kokomo, IN. The record was last updated on Feb 16, 2026.