Individual provider · Type 1 NPI

Kelly Lynn Clark

Behavior Technician · Lake Mary, FL

NPI number 1124430772 Active

Practice location

791 Rinehart Rd
Lake Mary, FL 32746-4876

Call (407) 413-9550 Map

Mailing address

175 Middle St, Suite 1201
Lake Mary, FL 32746-3625

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 1124430772

Kelly Lynn Clark's National Provider Identifier is 1124430772, issued on May 29, 2014. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Lake Mary, FL. The record was last updated on Jan 16, 2017.