TYLER EUGENE CLARK (NPI# 1649772120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649772120 |
| Entity Type | Individual |
| Full Name | TYLER EUGENE CLARK |
| Practice Address |
8951 Morro Rd Atascadero CA 93422-3984 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 8057032120 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407308018 | Tyler Clark | Student in an Organized Health Care Education/Training Program | 7785 Keswick Pl, Saint Louis, MO 63119 | 2016-10-30 |
| 1730540295 | Tyler Keith Clark | Chiropractor | 819 N Harbor Dr Ste 100, Redondo Beach, CA 90277-2086 | 2016-03-11 |
| 1629685698 | Tyler Todd Clark | Pharmacist | 1130 W Frontage Rd, Owatonna, MN 55060-5662 | 2020-09-24 |
| 1568087039 | Tyler S Clark | Physical Therapist | 11015 Warwick Blvd, Newport News, VA 23601-3225 | 2020-06-10 |
| 1952866576 | Tyler Clark | Physician Assistant | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2019-02-07 |
| 1346712767 | Tyler A Clark | Occupational Therapy Assistant | 552 Golf Links Rd, Hot Springs, AR 71901-7917 | 2018-12-24 |
| 1831623826 | Tyler Scott Clark | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Dr, Mc 7798, San Antonio, TX 78229-3901 | 2017-04-17 |
| 1124414305 | Tyler Clark | Family Medicine | 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 | 2015-04-14 |
| 1467843607 | Tyler E Clark | Student in an Organized Health Care Education/Training Program | 2151 College Ave, Bakersfield, CA 93305-4113 | 2015-02-10 |
| 1649689142 | Tyler Clark | Counselor | 602 N Walton Blvd, Bentonville, AR 72712-4576 | 2014-08-08 |
| Street Address |
8951 MORRO RD |
| City | ATASCADERO |
| State | CA |
| Zip Code | 93422-3984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487103669 | Alanna Sivils | Behavioral Analyst | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2016-09-28 |
| 1114534534 | Kaya Ann Woodard | Behavioral Analyst | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-09-29 |
| 1073149696 | Jacquelin Savannah Anderson | Behavioral Analyst | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-03-15 |
| 1558995787 | Bernadette Ruth Stehly | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-02-26 |
| 1790319358 | Britney Theresa Small | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-02-23 |
| 1407487705 | Kendra Marie Laguilles | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-01-27 |
| 1629608997 | Lauren Candace Casey | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-01-24 |
| 1518597467 | Alexandra Diane Holdom | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-01-20 |
| 1679110183 | Carolyn Shianne Womack | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-12-03 |
| 1215573886 | Morgan Miyoshi | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
| 1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
| 1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
| 1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
| 1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
| 1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
| Find all providers in zip 93422 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558995787 | Bernadette Ruth Stehly | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-02-26 |
| 1790319358 | Britney Theresa Small | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-02-23 |
| 1407487705 | Kendra Marie Laguilles | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-01-27 |
| 1629608997 | Lauren Candace Casey | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-01-24 |
| 1518597467 | Alexandra Diane Holdom | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2020-01-20 |
| 1679110183 | Carolyn Shianne Womack | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-12-03 |
| 1215573886 | Morgan Miyoshi | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-11-19 |
| 1649814245 | Anayeli Luna Reyes | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-11-06 |
| 1740823418 | Chelsea Lynn Swanson | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-10-24 |
| 1609417013 | Jennifer Alfaro | Behavior Technician | 8951 Morro Rd, Atascadero, CA 93422-3984 | 2019-10-07 |
| Find all providers in ATASCADERO | ||||
| City | ATASCADERO |
| Zip Code | 93422 |
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| 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.