Individual provider · Type 1 NPI

Elisa Kamilah Clark

Behavior Technician · Fairfax, VA

NPI number 1013813203 Active

Practice location

11130 Fairfax Blvd Ste 305
Fairfax, VA 22030-5035

Call (571) 918-9977 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000X1490782 (VA)

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…

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About NPI 1013813203

Elisa Kamilah Clark's National Provider Identifier is 1013813203, issued on Oct 15, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 15, 2026.