JENNIFER CLARK (NPI# 1841707445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841707445 |
| Entity Type | Individual |
| Full Name | JENNIFER CLARK |
| Practice Address |
5863 Nw 72nd St Kansas City MO 64151-1483 |
| Practice Telephone | 8169848280 |
| Mailing Telephone | 8169848280 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1982249926 | Jennifer Rae Clark | Nurse Practitioner | 2800 E League City Pkwy Apt 216, League City, TX 77573-1676 | 2019-11-13 |
| 1528546827 | Jennifer Clark | Technician | 59 Forrester St Sw Apt B, Washington, DC 20032-2120 | 2018-07-30 |
| 1265940340 | Jennifer Anne Clark | Counselor | 35 Pulaski Rd, Whitehouse Station, NJ 08889-3516 | 2018-01-11 |
| 1598118572 | Jennifer Clark | Internal Medicine | 1120 W. Michigan Street Gatch Hall Cl 630, Indianapolis, IN 46204 | 2016-07-14 |
| 1295124899 | Jennifer Clark | Behavioral Analyst | 662 Lake George Dr, Melbourne, FL 32940-2221 | 2015-01-20 |
| 1851707194 | Jennifer Sara Clark | Physical Therapist | 797 Evergreen Dr, West Hempstead, NY 11552-3406 | 2014-07-08 |
| 1083988794 | Jennifer Makiki Clark | Health Educator | 5858 Wilshire Blvd Ste 300, Los Angeles, CA 90036-4509 | 2012-02-27 |
| 1639484520 | Jennifer Ann Clark | Speech-Language Pathologist | 5903 Neptune Dr, Fort Collins, CO 80525-3905 | 2010-08-16 |
| 1245567247 | Jennifer Selleck Clark | Nurse Practitioner | 1840 Martin Luther King Jr Blvd Ste C4, Chapel Hill, NC 27514 | 2009-11-11 |
| Street Address |
5863 NW 72ND ST |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64151-1483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154626893 | Family First Center for Autism and Child Development, Inc. | Psychologist | 5863 Nw 72nd St, Suite 180, Kansas City, MO 64151-1483 | 2011-01-11 |
| 1861003360 | Kayla Renee Stokes | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2020-08-10 |
| 1336766724 | Breauna Dale Chaney | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2020-07-01 |
| 1619594082 | Jacquelyn Rae Davis | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2020-07-01 |
| 1306462759 | Margaret Mae Wehmeyer | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2020-06-22 |
| 1598380206 | Courtney Hyde | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2020-06-09 |
| 1679103915 | Renee Cangelosi | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2020-01-24 |
| 1336784263 | Ashley Pilar Dayoub | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2019-11-14 |
| 1992349989 | Taylor Wiley | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2019-11-01 |
| 1417598624 | Jeffrey Garrett | Behavior Technician | 5863 Nw 72nd St, Kansas City, MO 64151-1483 | 2019-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861033813 | Jonene Jaynes | Technician | 5002 Nw Martin Dr, Platte County, MO 64151 | 2019-10-01 |
| 1033636956 | Autism Support Now, LLC | Behavioral Analyst | 6500 Nw Tower Drive, Suite 100, Platte Woods, MO 64151 | 2017-08-23 |
| 1699205211 | Alma C Batchelor | Behavior Technician | 5863 Nw 72nd Street, Kansas City, MO 64151 | 2017-06-15 |
| 1588015291 | Freedom Care, LLC | Home Health Aide | 5727 N. Ames Ave, Kansas, MO 64151 | 2016-06-23 |
| 1164701827 | Richard Alan Pelaar | Counselor | 5000 Nw Waukomis Drive, E, Kansas City, MO 64151 | 2011-08-12 |
| 1013238708 | Kodi Lee Watson | Dietitian, Registered | 8301 N St. Clair Ave, Kansas City, MO 64151 | 2010-06-16 |
| 1821296294 | Andy Mackey | Durable Medical Equipment & Medical Supplies | 5100 Nw Waukomis, Northmoor, MO 64151 | 2007-07-06 |
| 1629138185 | George Thomas Mcneish II | Dentist | 6500 Nw Tower Dr, 6500 Nw Tower Dr, Kansas City, MO 64151 | 2006-12-12 |
| 1649345091 | Comfort Plus Shoes & Footcare | Durable Medical Equipment & Medical Supplies | 8351 Nw Barrybrooke Drive, Kansas City, MO 64151 | 2006-11-21 |
| 1457456931 | Steve Bull Cain | Dentist | 7120 Nw Prairie View Rd, Kansas City, MO 64151 | 2006-09-13 |
| Find all providers in zip 64151 | ||||
| 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 |
|---|---|---|---|---|
| 1053957852 | Jade E Kennedy | Behavior Technician | 10330 Hickmanmills Drive, Kansas City, MO 64137-1618 | 2019-11-27 |
| 1710523501 | Kyle Christopher Phillips | Behavior Technician | 10330 Hickman Mills Drive, Kansas City, MO 64137-1618 | 2019-11-27 |
| 1053962415 | Kymberly Kline | Behavior Technician | Riley Aba & Autism Center, 1936 Summit St, Kansas City, MO 64108 | 2019-09-26 |
| 1760032247 | Janeth Alejandra Matar | Behavior Technician | 741 S 76th St, Kansas City, KS 66111-2721 | 2019-09-16 |
| 1871140061 | Ashley Nicole Garcia | Behavior Technician | 10330 Hickman Mills Dr., Kansas City, MO 64137-1618 | 2019-08-22 |
| 1508426180 | Alexa Visor | Behavior Technician | 7 E Gregory Blvd, Kansas City, MO 64114-1117 | 2019-06-17 |
| 1003373853 | Tara Brachtenbach | Behavior Technician | 1936 Summit St, Kansas City, MO 64108-2110 | 2019-02-28 |
| 1356815658 | Emily A Hankinson | Behavior Technician | 11700 Hollingsworth Rd, Kansas City, KS 66109-2937 | 2019-01-20 |
| 1528539509 | Jeffrey Michal Alcala | Behavior Technician | 200 N 81st Ter, Kansas City, KS 66112-2704 | 2018-12-17 |
| 1912477365 | Callie Ann Davis | Behavior Technician | 10330 Hickman Mills Dr Bldg II, Kansas City, MO 64137-1618 | 2018-11-28 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64151 |
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| 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.