DISHON CLARK NPI 1003447616

Behavior Technician in Marlborough, MA

Individual Male Behavior Technician

About DISHON CLARK

Dishon Clark is a provider established in Marlborough, Massachusetts and his medical specialization is behavior technician. The NPI number of Dishon Clark is 1003447616 and was assigned on February 2020. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and his NPI record was last updated February 2020.

NPI

1003447616

Provider Name DISHON CLARK
Provider Location Address225 CEDAR HILL ST STE 200 MARLBOROUGH, MA 01752
Provider Mailing Address255 HONEYSUCKLE CIR APT 609 LAWRENCEVILLE, GA 30046
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-01-2020
Last Update Date02-01-2020

Primary Taxonomy

Taxonomy Code106S00000X
ClassificationBehavior Technician
TypeBehavioral Health & Social Service Providers
Taxonomy DescriptionThe 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.

Business Address

DISHON CLARK
225 CEDAR HILL ST STE 200
MARLBOROUGH, MA
ZIP 01752
Phone: (850) 510-6013

Get Directions

Mailing Address

DISHON CLARK
255 HONEYSUCKLE CIR APT 609
LAWRENCEVILLE, GA
ZIP 30046
Phone:

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073071205 RACHEL MARIE WHITE
Individual
Assistant Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(508) 630-2140
1194226209 JEFLY LOUIS RBT
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 829-4040
1336688241MS. LAURA ELIZABETH STANLEY BCBA, LABA
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
1366913667MISS TAYLOR LYN KEENE
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(508) 688-4221
1396201174 FATIMA DOYLE
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(508) 630-2140
1417425745 HANNAH BAILEY CULLETON
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 829-4040
1437715737MS. SHEVONDA NICOLE ROBINSON
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 576-5191
1538625843MISS CALADONIA ELLE SHAIRS
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 829-4040
1538639810KEY AUTISM SERVICES
Organization
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 829-4040
1700341302 DAWN N WESIAH
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 829-4040
1700354081 JOSALYN ALIVIA COMOLLI
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(508) 630-2140
1750753505MISS CHELSEA ANNE GAUDREAU
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(877) 418-2978
1760946362 ANGELA P PETROSINO
Individual
Assistant Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(339) 793-3620
1760955900 AMANDA PRIEST
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(857) 829-4040
1760959233 JESSICA NICOLE INFIORATI
Individual
Behavior Technician225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(781) 580-9480
1841751575 MARIAH ROSS
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(508) 630-2140
1851850374 LASHAWNA MARY PRINGLE
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(978) 364-6063
1851879415 HANNAH ALLEN
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(818) 345-2345
1962975060MISS WHITNEY MICHELLE LEWIS I
Individual
Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(888) 329-4535
1962979765 LUZ A PEREZ-BENITEZ
Individual
Assistant Behavior Analyst225 CEDAR HILL ST STE 200
MARLBOROUGH, MA 01752
(508) 630-2140

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.