Individual provider · Type 1 NPI

Larisse A. Clark

Behavior Technician · Spring Lake, NC

NPI number 1912596040 Active

Practice location

1018 N Bragg Blvd
Spring Lake, NC 28390-3316

Call (910) 295-2609 Map

Fax (800) 948-6061

Mailing address

3522 Grenedine Dr
Fayetteville, NC 28306-5610

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 1912596040

Larisse A. Clark's National Provider Identifier is 1912596040, issued on Jan 13, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Spring Lake, NC. The record was last updated on Jan 13, 2021.