Individual provider · Type 1 NPI

Max Douglas Clark

Behavior Technician · Modesto, CA

NPI number 1093656167 Active

Practice location

2100 Standiford Ave
Modesto, CA 95350-6522

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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 1093656167

Max Douglas Clark's National Provider Identifier is 1093656167, issued on Apr 2, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Modesto, CA. The record was last updated on Apr 2, 2026.