BRIDGET MEGAN CLARK (NPI# 1912476037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912476037 |
| Entity Type | Individual |
| Full Name | BRIDGET MEGAN CLARK |
| Practice Address |
1069 Hempstead Tpke Franklin Square NY 11010-2631 |
| Mailing Address |
21600 Oxnard St Ste 1800 Woodland Hills CA 91367-7807 |
| Practice Telephone | 9148331303 |
| Mailing Telephone | 8183452345 |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2018-11-19 |
| 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 |
|---|---|---|---|---|
| 1528536059 | Bridget Shouse Clark | Social Worker | 6271 Horner Siding Rd, Oxford, NC 27565 | 2018-11-02 |
| 1841688520 | Bridget Clark | Speech-Language Pathologist | 128 Atlanta Way, Bowling Green, KY 42103-7093 | 2015-01-02 |
| 1477865327 | Bridget Eileen Clark | Speech-Language Pathologist | 137 W Parker Rd Ste A, Morganton, NC 28655-4622 | 2010-07-08 |
| 1598267650 | Bridget Clark | Specialist/Technologist | 541 Main St, New London, NH 03257-7818 | 2018-03-05 |
| 1265970578 | Bridget Clark | Case Manager/Care Coordinator | 119 Herriford Curve Road, Jamestown, KY 42629-2520 | 2017-02-07 |
| 1912264292 | Bridget M. Clark | Psychiatry & Neurology | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2012-04-11 |
| 1528174257 | Bridget Clark | Physical Therapist | 13805 Research Blvd Ste 150, Austin, TX 78750-1400 | 2006-08-23 |
| Street Address |
1069 HEMPSTEAD TPKE |
| City | FRANKLIN SQUARE |
| State | NY |
| Zip Code | 11010-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937613 | Elizabeth Rose Zeisler | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2020-09-21 |
| 1629612999 | Lynn Rayder | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-10-30 |
| 1114560752 | Jerry Raju | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-10-28 |
| 1609435981 | Lovejeet Singh | Behavioral Analyst | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-06-10 |
| 1215596507 | Yashmin Singh | Behavioral Analyst | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-06-10 |
| 1245896562 | Raven Walker | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-05-13 |
| 1346803533 | Elisha Warren | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-04-15 |
| 1295293181 | Gabriela Rivera | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-03-09 |
| 1871072132 | Gabrielle Mendoza | Behavioral Analyst | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2018-08-08 |
| 1649757790 | Joel Olivier Jackson | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2018-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609362789 | Thalia Vasquez | Behavior Technician | 1069 Hempstead Turnpike, #1, Franklin Square, NY 11010 | 2018-07-02 |
| 1790214336 | Marisa Nandini Basdeo | Speech-Language Pathologist | 771 Brower Avenue, Franklin Square, NY 11010 | 2017-06-07 |
| 1477911667 | Dominique Nicolich | Early Intervention Provider Agency | 210-26 Franklin Avenue, Franklin Square, NY 11010 | 2016-02-03 |
| 1275906414 | Michael Reddington | Specialist/Technologist | 717 Elm Street, Franklin Square, NY 11010 | 2015-11-10 |
| 1790185635 | Ashley Blonder | Pediatrics | 308 Dogwood Avenue, Franklin Square, NY 11010 | 2014-08-28 |
| 1013293323 | Elizabeth Mccaffrey | Registered Nurse | 35 Sherwood Ave, Franklin Square, NY 11010 | 2011-11-01 |
| 1427332857 | Bzpharmacy Inc | Pharmacy | 905 Hempstead Tpke, Franklinsquare, NY 11010 | 2011-10-04 |
| 1376872382 | Kristen Laura Nigro | Dentist | 1040 Hempstead Tpk, Suite 10, Franklin Square, NY 11010 | 2009-12-22 |
| 1053501478 | Susan Sisselman | Physical Therapist | 562 Dogwood Avenue, Franklin Square, NY 11010 | 2007-08-01 |
| 1205035300 | Nancy M Elbasty | Pediatrics | 380 Dogwood Avenue, Franklin Square, NY 11010 | 2007-07-17 |
| Find all providers in zip 11010 | ||||
| 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 |
|---|---|---|---|---|
| 1265994255 | Dorah Labatte | Behavior Technician | 1069 Hempstead Tpke Ste 1, Franklin Square, NY 11010-2631 | 2019-04-01 |
| 1609362789 | Thalia Vasquez | Behavior Technician | 1069 Hempstead Turnpike, #1, Franklin Square, NY 11010 | 2018-07-02 |
| 1154937613 | Elizabeth Rose Zeisler | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2020-09-21 |
| 1033728886 | Jonathan Devito | Behavior Technician | 1069 Hempstead Tpke Ste 1, Franklin Square, NY 11010-2631 | 2020-07-28 |
| 1548806649 | Khrystina Sherece Roachford | Behavior Technician | 1069 Hempstead Tpke # 1, Franklin Square, NY 11010-2631 | 2019-11-23 |
| 1023653482 | Charmara Barrett | Behavior Technician | 1069 Hempstead Tpke # 1, Franklin Square, NY 11010-2631 | 2019-11-08 |
| 1730723503 | Onyedikachi Christopher Igwe | Behavior Technician | 1069 Hempstead Tpke # 1, Franklin Square, NY 11010-2631 | 2019-11-04 |
| 1629612999 | Lynn Rayder | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-10-30 |
| 1114560752 | Jerry Raju | Behavior Technician | 1069 Hempstead Tpke, Franklin Square, NY 11010-2631 | 2019-10-28 |
| 1356984991 | Samantha M Lopes | Behavior Technician | 1069 Hempstead Tpke # 1, Franklin Square, NY 11010-2631 | 2019-10-27 |
| Find all providers in FRANKLIN SQUARE | ||||
| City | FRANKLIN SQUARE |
| Zip Code | 11010 |
Please comment or provide details below to improve the information on BRIDGET MEGAN 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.