Amends GS 90-732 to add definition of registered behavior technician and amends GS 90-745 to apply only to registered behavior technicians (was, behavior technicians). 

Adds section GS 90-745.1 to require that at least 10% of services provided by a registered behavior technician be observed and directed by a licensed behavior analyst or licensed assistant behavior analyst. Prohibits registered behavior technicians from one-on-one contact with patients without 80 hours of service completed under such observation and direction. 

Adds section GS 90-746.1 to impose the following practice limitations on individuals licensed or registered under Article 43 of GS Chapter 90 (governing licensure for behavior analysts). Prohibits behavioral analysis via telehealth unless the patient is in a North Carolina county with a population density of less than 400 people per square mile. Prohibits behavioral analysis with a minor for more than 16 hours per week unless the parent or legal guardian is present.

Effective January 1, 2027.

Appropriates $50,000 for 2026-27 from the General Fund to the North Carolina Behavior Analysis Board to adopt rules for registered behavior technicians. Effective July 1, 2026.