SCOTT CLARK


Address: 5457 Sw Canyon Ct, Portland, OR 97221-2401
Phone: 9717624663

SCOTT CLARK (NPI# 1336752286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336752286
Entity Type Individual
Full Name SCOTT CLARK
Practice Address 5457 Sw Canyon Ct
Portland
OR 97221-2401
Practice Telephone 9717624663
Mailing Telephone 9717624663
Enumeration Date 2020-08-28
Last Update Date 2020-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106S00000X Behavior Technician Behavioral Health & Social Service Providers

Other Providers SCOTT CLARK

NPI Name Taxonomy Address Enumeration
1275650657 Scott C Clark Chiropractor 1540 N Arlington Heights Rd, Arlington Heights, IL 60004-3906 2007-03-23
1205903754 Scott Clark Optometrist 491 Rantoul St, Beverly, MA 01915-3231 2006-11-29
1225119191 Scott Earl Clark Physician Assistant 6 Fountain Plaza, Buffalo, NY 14202 2006-10-18
1255440475 Scott Clark Physician Assistant 1503 Buenos Aires Blvd Ste 100, The Villages, FL 32159-6825 2006-08-30
1265490734 Scott Matthew Clark Chiropractor 8000 Dallas St, Fort Smith, AR 72903-4277 2006-05-03
1700865748 Scott A Clark Podiatrist 24 S 1100 E Ste 210, Salt Lake City, UT 84102 2006-01-10
1518528868 Scott Randall Clark Nurse Practitioner 809 W Randol Mill Rd, Arlington, TX 76012-2507 2019-06-27
1487163002 Scott Thomas Clark Counselor 707 Broadway Blvd Ne, Albuquerque, NM 87102 2017-09-26
1710432984 Scott Clark Pharmacist 100 W Riverside Dr, Parker, AZ 85344-5205 2016-08-17
1316331994 Scott Clark Jr. Registered Nurse 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 2015-03-23

Office Location

Street Address 5457 SW CANYON CT
City PORTLAND
State OR
Zip Code 97221-2401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841824000 Amorelle Clarke Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-02-26
1376144485 Sarah Dufficy Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-11-04
1790386803 Montanna Schreder-guerrette Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-11-04
1629679733 Shayla Perez Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-11-04
1801493028 Aline Gallegos Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-10-01
1558968776 Sophie Rivera Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-10-01
1922605146 Kailyn Tovar Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-10-01
1164035119 Mercedes Tracy Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-08-28
1134732084 Dezhae Moreland Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-08-28
1093324170 Emily Anhder Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-07-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407460371 Samantha Nozomi Murata Pharmacist 5415 Sw Beaverton Ct Hwy, Portland, OR 97221 2020-09-08
1063996312 Maximilian Torres Physical Therapy Assistant 4602 Sw 53rd Ave, Portland, OR 97221 2018-09-22
1275071599 Kayla Hoskins Social Worker 6443 Sw Beaverton Hillsdale Hwy Suite 300, Portland, OR 97221 2017-02-07
1467821520 Tam Nguyen Pharmacist 5431 Sw Beaverton Hillsdale, Portland, OR 97221 2015-09-18
1124494786 Laine Towell Psychologist 6443 Sw Beaverton Hillsdale Hwy Ste 300, Portland, OR 97221 2015-08-18
1376936633 Patricia A. Lolich-beyer Counselor 5201 Sw Westgate Dr., Suite 118, Portland, OR 97221 2015-03-11
1134468374 Alexandra Scamarone Acupuncturist 5319 Sw Westgate Dr, Unit No. 150, Portland, OR 97221 2013-02-07
1508118316 Nichole C. Marks Speech-Language Pathologist 6125 Sw Boundary, Portland, OR 97221 2012-10-04
1649529538 Navkiran Kaur Singh Counselor 5440 Sw Westgate Drive., Suite 175, Portland, OR 97221 2012-09-06
1306124276 Alyssa C. Brin Counselor 5440 Sw Westgate Dr Ste 210, Portland, OR 97221 2011-07-26
Find all providers in zip 97221

Taxonomy Information

Taxonomy Code 106S00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavior Technician

Taxonomy 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.
Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184223760 Dvarrio Rice Behavior Technician 404 Ne 157th Ave, Portland, OR 97230-4831 2020-10-23
1912513748 Rayna Louise Sage Behavior Technician 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 2020-09-17
1770112229 Gabriel Jackson Bird Behavior Technician 7800 Sw Barbur Blvd Unit 2, Portland, OR 97219-2823 2020-04-06
1841824000 Amorelle Clarke Behavior Technician 5457 Sw Canyon Ct, Portland, OR 97221-2401 2020-02-26
1528691870 Jodie Lynn Boettcher Behavior Technician 1750 Sw Skyline Blvd Ste 201, Portland, OR 97221-2545 2020-02-14
1184256893 Rebecca Lovins Behavior Technician 304, Frio Dr, Portland, TX 78374 2020-02-11
1063052603 Cedar Hart Edell Behavior Technician 931 Sw Gaines St Apt A, Portland, OR 97239-3005 2020-01-12
1588204507 Yarelisa Yesania Salcedo Behavior Technician 7800 Sw Barbur Blvd # 2, Portland, OR 97219-2823 2020-01-07
1669011045 Devin Solar Behavior Technician 14405 Sw Beef Bend Rd Apt 3, Portland, OR 97224-1964 2020-01-02
1982243531 Haley Anne Fellows Behavior Technician 8105 Se Taylor Ct, Portland, OR 97215-3059 2019-12-30
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97221

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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