Individual provider · Type 1 NPI

Shantana Polk

Behavior Technician · Mansfield, OH

NPI number 1801786207 Active

Practice location

1033 Larchwood Rd
Mansfield, OH 44907-2424

Call (419) 747-4122 Map

Fax (419) 747-4126

Mailing address

1205 Canteberry Ln
Mansfield, OH 44906-3508

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 1801786207

Shantana Polk's National Provider Identifier is 1801786207, issued on Jul 7, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Mansfield, OH. The record was last updated on Jul 7, 2025.