ANTOINETTE YVETTE CLARK (NPI# 1659836054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659836054 |
| Entity Type | Individual |
| Full Name | ANTOINETTE YVETTE CLARK |
| Practice Address |
227 W Ercoupe Dr Midwest City OK 73110-5515 |
| Practice Telephone | 2285461645 |
| Mailing Telephone | 2285461645 |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902089717 | Antoinette Sophia Clark | Licensed Practical Nurse | 106 N Water St, Georgetown, OH 45121-1332 | 2007-12-14 |
| 1629105200 | Antoinette Clark | Counselor | 3809 Rosewood Dr, Columbia, SC 29205-3533 | 2007-02-28 |
| Street Address |
227 W ERCOUPE DR |
| City | MIDWEST CITY |
| State | OK |
| Zip Code | 73110-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939377 | Torry E Elston | Technician/Technologist | 5908 Se 15th St, Midwest City, OK 73110 | 2020-10-12 |
| 1083225783 | Daniel B Nguyen | Pharmacist | 1601 S Air Depot, Midwest City, OK 73110 | 2020-08-14 |
| 1114494903 | Tiandrea Jeanae Neal | Behavioral Analyst | 1212 S. Air Depot, Ste 17, Midwest City, OK 73110 | 2018-10-30 |
| 1467902593 | Brian Christopher Lewis | Case Manager/Care Coordinator | 8616 Cedar Ridge Drive, Midwest City, OK 73110 | 2016-10-13 |
| 1669839312 | National Iom, Pllc | Electrodiagnostic Medicine | 1205 S. Air Depot # 102, Midwest City, OK 73110 | 2016-01-26 |
| 1003292210 | Alexandrea Funston | Speech-Language Pathologist | 224 E Blossom Drive, Midwest City, OK 73110 | 2015-08-11 |
| 1184053399 | Ronya Caraway | Community/Behavioral Health | 7901 Ne 10th, B106, Midwest City, OK 73110 | 2013-11-07 |
| 1245678374 | Layfette Lamar Fletcher | Counselor | 405 Delia Street, Midwest City, OK 73110 | 2013-06-11 |
| 1114364163 | Kathryn Ann Gray | Social Worker | 1391 North Midwest Blvd., Midwest City, OK 73110 | 2013-05-31 |
| 1841542545 | Steven Atkins Akinnfest | Counselor | 417 Reed Place, Midwest City, OK 73110 | 2012-10-05 |
| Find all providers in zip 73110 | ||||
| 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 |
|---|---|---|---|---|
| 1366059909 | Richard Williams | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-09-28 |
| 1073135489 | Brittani Saige Tatum | Behavior Technician | 9704 Kent Dr, Midwest City, OK 73130-6440 | 2020-05-08 |
| 1700485588 | Megan Grieves | Behavior Technician | 1121 S. Douglas Boulevard, Suite A, Midwest City, OK 73130 | 2020-10-22 |
| 1700485075 | Emily Walls | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-10-19 |
| 1063028413 | Christina Pynn | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-09-21 |
| 1770198293 | Courtney Stevens | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-09-11 |
| 1992328520 | Lilia Mcalvain | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-05-18 |
| 1700408333 | Alexis Oldham | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-05-18 |
| 1134740988 | Monica Geis | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-05-04 |
| 1508487919 | Katy Moore | Behavior Technician | 1212 S Air Depot Blvd Ste 17, Midwest City, OK 73110-4860 | 2020-04-27 |
| Find all providers in MIDWEST CITY | ||||
| City | MIDWEST CITY |
| Zip Code | 73110 |
Please comment or provide details below to improve the information on ANTOINETTE YVETTE CLARK.
| 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.