KYLE CLARK (NPI# 1427669480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427669480 |
| Entity Type | Individual |
| Full Name | KYLE CLARK |
| Practice Address |
1300 Locust St Ste C Harrisonville MO 64701-1366 |
| Practice Telephone | 4174489766 |
| Practice Fax Number | 8162651828 |
| Mailing Telephone | 4174489766 |
| Mailing Fax Number | 8162651828 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787902 | Kyle Clark | Acupuncturist | 917 Sw Oak St Ste 308, Portland, OR 97205-2806 | 2019-12-13 |
| 1891955662 | Kyle Warner Clark | Dentist | 1008 Rushleigh Rd, Cleveland Heights, OH 44121-1415 | 2008-06-14 |
| 1922608926 | Kyle Clark | Pharmacist | 401 Linwood Plz, Lindsay, OK 73052-4602 | 2020-10-28 |
| 1750906533 | Kyle Clark | Behavior Technician | 13101 W Washington Blvd, Los Angeles, CA 90066-5131 | 2020-06-08 |
| 1801415864 | Kyle R Clark | Physician Assistant | 5666 E State St, Rockford, IL 61108-2425 | 2020-04-10 |
| 1376170613 | Kyle Clark | Physical Therapist | 3155 N Point Pkwy, Alpharetta, GA 30005-5481 | 2020-03-26 |
| 1669031829 | Kyle N Clark | Behavior Technician | 100 Spenryn Dr, Madison, AL 35758-1890 | 2019-06-11 |
| 1588134068 | Kyle Clark | Behavior Technician | 601 University Ave Ste 175, Sacramento, CA 95825-6739 | 2018-11-28 |
| 1639521206 | Kyle Allen Clark | Dentist | 113 Cross Creek Blvd, Salem, IL 62881-1921 | 2016-07-07 |
| 1679946057 | Kyle Clark | Pharmacist | 3780 E 15th St, Loveland, CO 80538-8766 | 2015-11-05 |
| Street Address |
1300 LOCUST ST STE C |
| City | HARRISONVILLE |
| State | MO |
| Zip Code | 64701-1366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457869307 | Jaime Rachelle Mortimer Bonar | Occupational Therapist | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2018-01-12 |
| 1992314041 | Cody Charles Meehan | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-07-24 |
| 1871118273 | Madison Voorhees | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598384414 | Leo Dickson | Hearing Instrument Specialist | 2006 N, Route 291, Harrisonville, MO 64701 | 2020-04-10 |
| 1457999443 | Stephanie Herndon | Counselor | 316 S. Independence Street, Harrisonville, MO 64701 | 2019-12-20 |
| 1972154300 | Amanda Wilkes | Counselor | 105c W Wall St, Harrisonville, MO 64701 | 2019-09-26 |
| 1740762806 | John Curtis Burton | Optometrist | 2100 E. Mechanic Street, Harrisonville, MO 64701 | 2018-09-05 |
| 1629595368 | Megan Elizabeth Griffin | Speech-Language Pathologist | 503 S. Lexington St, Harrisonville, MO 64701 | 2017-08-24 |
| 1073853586 | Lon Roland Tracy | Dentist | 300 S. Independence Street, Harrisonville, MO 64701 | 2013-02-20 |
| 1932491396 | Leesa Bowman | Occupational Therapist | 2001 Jefferson Pkwy, Harrisonville, MO 64701 | 2011-05-04 |
| 1952543894 | Sarah Sharp | Chiropractor | 207 E Wall St., Harrisonville, MO 64701 | 2009-03-24 |
| 1386833788 | Elaine Boyd | Nurse Practitioner | 300 Galaxie Ave., Harrisonville, MO 64701 | 2007-10-22 |
| 1093920639 | Serc of Harrisonville, L.L.C. | Durable Medical Equipment & Medical Supplies | 815 Westchester Avenue, Harrisonville, MO 64701 | 2007-05-14 |
| Find all providers in zip 64701 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912519372 | Chelsea Arnold | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-18 |
| 1821619685 | Ebony Nicole Love | Behavior Technician | 1300 Locust St # Stc, Harrisonville, MO 64701-1366 | 2020-05-04 |
| 1952914921 | Nicole Rae Dannen | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-28 |
| 1487266698 | Sasha Ellen Anne Owen | Behavior Technician | 1300 Locust St, Harrisonville, MO 64701-1366 | 2020-08-19 |
| 1992314041 | Cody Charles Meehan | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-07-24 |
| 1871118273 | Madison Voorhees | Behavior Technician | 1300 Locust St Ste C, Harrisonville, MO 64701-1366 | 2020-06-11 |
| 1710524889 | Rebecca Troup | Behavior Technician | 3002 Younger Dr, Harrisonville, MO 64701-3909 | 2019-12-07 |
| 1114563988 | Marissa Nicoal Clayton | Behavior Technician | 3002 Younger Dr, Harrisonville, MO 64701-3909 | 2019-11-26 |
| 1265076939 | Olivia Jo Holt | Behavior Technician | 3002 Younger Dr, Harrisonville, MO 64701-3909 | 2019-11-05 |
| 1285288548 | Haley Parker | Behavior Technician | 3002 Younger Dr, Harrisonville, MO 64701-3909 | 2019-07-25 |
| Find all providers in HARRISONVILLE | ||||
| City | HARRISONVILLE |
| Zip Code | 64701 |
Please comment or provide details below to improve the information on KYLE CLARK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.