Individual provider · Type 1 NPI

Sam Burk Clark

Behavior Technician · Salt Lake City, UT

NPI number 1891395422 Active

Practice location

515 S. 700 E, Suite 2A
Salt Lake City, UT 84102-2142

Call (801) 935-4171 Map

Fax (801) 935-4946

Other practice locations

515 S. 700 E, Suite 2A, Salt Lake City, UT 84102-2142 · (801) 935-4171

Specialties and licenses

Taxonomy	Code	License
Behavior Technician Primary	106S00000X	None 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 1891395422

Sam Burk Clark's National Provider Identifier is 1891395422, issued on Nov 1, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 1, 2020.