Individual provider · Type 1 NPI

Monique Lashae Clark

Behavior Technician · Columbus, GA

NPI number 1053217554 Active

Practice location

1315 Delauney Ave Ste 201A
Columbus, GA 31901-2367

Fax (706) 221-2195

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-26-2838956 (GA)

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 1053217554

Monique Lashae Clark's National Provider Identifier is 1053217554, issued on Oct 20, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Columbus, GA. The record was last updated on Oct 21, 2026.