KYLE N CLARK (NPI# 1669031829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669031829 |
| Entity Type | Individual |
| Full Name | KYLE N CLARK |
| Credential | RBT |
| Practice Address |
100 Spenryn Dr Madison AL 35758-1890 |
| Practice Telephone | 2567724400 |
| Mailing Telephone | 2567724400 |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 17-32136 | AL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787902 | Kyle Clark | Acupuncturist | 917 Sw Oak St Ste 308, Portland, OR 97205-2806 | 2019-12-13 |
| 1891955662 | Kyle Warner Clark | Dentist | 1008 Rushleigh Rd, Cleveland Heights, OH 44121-1415 | 2008-06-14 |
| 1922608926 | Kyle Clark | Pharmacist | 401 Linwood Plz, Lindsay, OK 73052-4602 | 2020-10-28 |
| 1427669480 | Kyle Clark | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-08-13 |
| 1750906533 | Kyle Clark | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-06-08 |
| 1801415864 | Kyle R Clark | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-10 |
| 1376170613 | Kyle Clark | Physical Therapist | 3155 N Point Pkwy, Alpharetta, GA 30005-5481 | 2020-03-26 |
| 1588134068 | Kyle Clark | Behavior Technician | 601 University Ave Ste 175, Sacramento, CA 95825-6739 | 2018-11-28 |
| 1639521206 | Kyle Allen Clark | Dentist | 113 Cross Creek Blvd, Salem, IL 62881-1921 | 2016-07-07 |
| 1679946057 | Kyle Clark | Pharmacist | 3780 E 15th St, Loveland, CO 80538-8766 | 2015-11-05 |
| Street Address |
100 SPENRYN DR |
| City | MADISON |
| State | AL |
| Zip Code | 35758-1890 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023518214 | Anthony Dwain Pettus Jr. | Case Manager/Care Coordinator | 100 Spenryn Dr, Madison, AL 35758-1890 | 2018-02-14 |
| 1720626286 | Zaria S Williams | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-12-16 |
| 1972140713 | Gary Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-27 |
| 1588201321 | Alexandra M Williams | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-27 |
| 1932746773 | Ashley N Harding | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-27 |
| 1437793023 | Darrick D Jamar Jr. | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-11-06 |
| 1306497979 | Joel W Donelan | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-09-25 |
| 1235789579 | Megan M Harrell | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-09-18 |
| 1033769377 | Taylor L Pritchett | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-09-18 |
| 1104476951 | Lavanna Snead | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| 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 |
|---|---|---|---|---|
| 1851889455 | Melissa Holt | Behavior Technician | 1506 Durham Rd, Madison, CT 06443-1661 | 2018-04-29 |
| 1083225247 | Mackenzie Hutchison | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-08-12 |
| 1720699903 | Ariel Rice | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-08-12 |
| 1952919920 | Jessica Brockway | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-07-16 |
| 1396361382 | Alexandria Robertson | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-06-25 |
| 1154957892 | Heather Splinter | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-03-13 |
| 1154956084 | Elizabeth Conejo | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-03-11 |
| 1275165847 | Dominique Grace Bertucci | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-02-11 |
| 1629600200 | Cassandra Windau | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-02-11 |
| 1992337588 | Bailey Hlavachek | Behavior Technician | 3113 W Beltline Hwy Ste 300, Madison, WI 53713-2934 | 2020-02-11 |
| Find all providers in MADISON | ||||
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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.