TARA CLARK


Address: 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027
Phone: 8164695162

TARA CLARK (NPI# 1770125114) 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) 1770125114
Entity Type Individual
Full Name TARA CLARK
Practice Address 6330 Nw Kelly Dr Ste A
Parkville
MO 64152-4027
Practice Telephone 8164695162
Practice Fax Number 8164918173
Mailing Telephone 8164695162
Mailing Fax Number 8164918173
Enumeration Date 2019-10-16
Last Update Date 2019-10-16
Gender Code F
Is Sole Proprietor N

Taxonomy

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

Other Providers TARA CLARK

NPI Name Taxonomy Address Enumeration
1356731186 Tara Clark Community Health Worker 3030 Grill Rd, New Franklin, OH 44216-9320 2015-02-02
1013270917 Tara Annette Clark Specialist 24 Libby Ave, Hicksville, NY 11801-1737 2012-06-17
1376853762 Tara Lynn Clark Counselor 3539 Dianna Way, Wenatchee, WA 98801-9142 2010-10-19
1750345245 Tara A Clark Family Medicine 600 Ne Adams Dairy Pkwy, Blue Springs, MO 64014-5493 2006-04-13
1053971911 Tara Lowe Clark Student in an Organized Health Care Education/Training Program 5323 Harry Hines Blvd, Dallas, TX 75390-7201 2019-06-13
1083199269 Tara Clark Nurse Practitioner 600 S Dobson Rd Ste E36, Chandler, AZ 85224-5693 2018-10-03
1720574957 Tara Clark Speech-Language Pathologist 5038 Champions Dr, Lufkin, TX 75901-7346 2018-07-11
1124520986 Tara Clark Nurse Practitioner 2200 E Parrish Ave, Bldg D Suite 100, Owensboro, KY 42303 2018-03-07
1760980783 Tara M Clark Speech-Language Pathologist 3501 Taylor Ave, Nottingham, MD 21236-4406 2018-01-24
1285081299 Tara Maria Clark Nurse Practitioner 380 N Reservation Rd, Porterville, CA 93257-9673 2016-05-19

Office Location

Street Address 6330 NW KELLY DR STE A
City PARKVILLE
State MO
Zip Code 64152-4027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003181009 Adrienne E Echols Physical Therapy Assistant 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2012-03-09
1992303184 Michelle Mcclure Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-10-11
1396358222 Randy Ray Jeffries Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-08-29
1851916159 Jennie Parbel Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-06-11
1437773439 Kristine Wimberly Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-06-04
1871117283 Ethan Wesley Yazell Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-06-01
1083238521 Kathrine Haley Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-06-01
1881217032 Charlotte Marie Stock Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-05-22
1639705783 Daniel Manuel Jaime Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-03-20
1235762162 Jerin Elizabeth Meyer Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-02-19
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669025573 Kayla S Jones Behavior Technician 63301 Nw Kelly Dr Ste A, Parkville, MO 64152 2019-07-19
1386191401 Branson Lyle Billings Dentist 8600 Tom Watson Pkwy., Ste. 101, Parkville, MO 64152 2016-09-07
1467908467 Abigail Stanley Dietitian, Registered 6185 Jefferson Avenue, Parkville, MO 64152 2016-08-30
1568874477 Latoya R Walker Counselor 8341 Nw Mace Rd Ste 115, Kansas City, MO 64152 2014-05-27
1386088284 Stacey Chestnut-watson Counselor 8341 Nw Mace Rd Ste 120, Kansas City, MO 64152 2013-04-22
1093069049 Rhonda Joyce Weimer Counselor 160 A West 12th Street, Parkville, MO 64152 2012-10-30
1902182892 Kelly Dawn Siebert Pharmacist 3645 Frederick Blvd, St. Joseph, MO 64152 2011-10-24
1922301563 Casey Chiropractic LLC Chiropractor 8303 N. Congress Ave, Kansas City, MO 64152 2010-12-20
1093910994 Jennifer A. Sutch Occupational Therapist 8400 Nw 62nd.st., Parkville, MO 64152 2007-06-19
1154483972 Karla Elaine Woodring Fredericks Counselor 171 English Landing Drive, Suite 220, Parkville, MO 64152 2006-12-15
Find all providers in zip 64152

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
1659996098 Sharnele Ranson Behavior Technician 44 Begonia Ct, Parkville, MD 21234-3402 2020-06-11
1669025573 Kayla S Jones Behavior Technician 63301 Nw Kelly Dr Ste A, Parkville, MO 64152 2019-07-19
1700355971 Eric Andrew Zgorski Behavior Technician 27 Hapsburg Ct Apt Suite, Parkville, MD 21234-8030 2018-11-17
1194215491 Amy Sindt Behavior Technician 6330 Nw Kelly Dr, Parkville, MO 64152-4024 2018-05-14
1194228320 Sharon Staebell Behavior Technician 14310 Nw 67th St, Parkville, MO 64152-5206 2018-03-14
1912437807 Anshrea Crosby Behavior Technician 7044 Mcclean Blvd, Parkville, MD 21234-7256 2017-06-14
1376080143 Shelly Engel Behavior Technician 2926 Aspen Hill Rd, Parkville, MD 21234-2112 2017-01-31
1992303184 Michelle Mcclure Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-10-11
1396358222 Randy Ray Jeffries Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-08-29
1851916159 Jennie Parbel Behavior Technician 6330 Nw Kelly Dr Ste A, Parkville, MO 64152-4027 2020-06-11
Find all providers in PARKVILLE

Competitor

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City PARKVILLE
Zip Code 64152

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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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