Individual provider · Type 1 NPI

Tatum Michelle Clark, RBT

Behavior Technician · Columbus, GA

NPI number 1174394076 Active

Practice location

1110 13th St Ste D
Columbus, GA 31901-2246

Call (706) 780-1704 Map

Mailing address

745 Tamaha Trce NE Unit 33C
Tuscaloosa, AL 35404-2556

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 1174394076

Tatum Michelle Clark, RBT's National Provider Identifier is 1174394076, issued on Jan 10, 2024. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Columbus, GA. The record was last updated on Jan 10, 2024.