Individual provider · Type 1 NPI

Nicole Clark

Behavior Technician · Rancho Mirage, CA

NPI number 1629951843 Active

Practice location

71949 Highway 111 Ste 100A
Rancho Mirage, CA 92270-4826

Call (909) 353-7547 Map

Mailing address

50660 Eisenhower Dr Apt 3024
La Quinta, CA 92253-2341

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 1629951843

Nicole Clark's National Provider Identifier is 1629951843, issued on Jul 26, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Rancho Mirage, CA. The record was last updated on Jul 26, 2025.