MAYRA LARA
NPI 1700551009
Behavior Technician in Russellville, AR

Active since August 10, 2021
1200 S ELMIRA AVE, RUSSELLVILLE, AR 72802(479) 968-7118(479) 968-8628 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2023, Aug 10, 2021 (2 updates tracked since 2021).

About Mayra Lara NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA LARA (NPI 1700551009) is an individual behavior technician in Russellville, Arkansas and active in the NPI registry since August 2021. She maintains a secondary practice location in Lowell.

NPPES Registry Identity

NPI1700551009
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMAYRA LARA
Location Address1200 S ELMIRA AVERussellville, AR 72802-9646
Mailing AddressPo Drawer 2109Russellville, AR 72811 · (479) 967-2322 · Fax (479) 967-2876
Fax(479) 968-8628
Sole ProprietorNo
Enumeration DateAugust 10, 2021
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
NPI 1700551009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1200 S ELMIRA AVE, Russellville, AR 72802

Secondary Practice Location 1

Location 1212 S Lincoln St Ste ALowell, AR 72745-9722 · Phone (479) 770-0744 · Fax (479) 770-0176

Other Identifiers 1

Medicaid273474706AR

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Speech-Language Pathologist
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Physical Therapy Assistant
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Occupational Therapy Assistant
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Speech-Language Pathologist
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Occupational Therapy Assistant
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Physical Therapy Assistant
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802
Speech-Language Pathologist
1200 S ELMIRA AVE
RUSSELLVILLE, AR 72802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayra Lara's NPI number?

The NPI number for Mayra Lara is 1700551009. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Where is Mayra Lara located?

Mayra Lara practices at 1200 S Elmira Ave, Russellville, AR 72802. The listed phone number is (479) 968-7118.

What is Mayra Lara's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mayra Lara was last updated on January 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.