Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ELIZABETH CLARK
NPI 1104747393
Behavior Technician in South Jordan, UT

Q: What is Elizabeth Clark's NPI number?

The NPI number for Elizabeth Clark is 1104747393. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Q: What is Elizabeth Clark's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

Q: When was this NPI record last updated?

The NPPES record for Elizabeth Clark was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 23, 2026

11240 S RIVER HEIGHTS DR STE 110, SOUTH JORDAN, UT 84095(801) 935-4171 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Elizabeth Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH CLARK (NPI 1104747393) is an individual behavior technician in South Jordan, Utah and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1104747393

Entity TypeIndividualFemale

Primary Taxonomy106S00000X

Provider Legal NameELIZABETH CLARK

Location Address11240 S RIVER HEIGHTS DR STE 110South Jordan, UT 84095-5106

Mailing Address16255 Ventura Blvd Ste 900Encino, CA 91436-2317 · Fax (801) 935-4171

Phone(801) 935-4171

Sole ProprietorNo

Enumeration DateJuly 23, 2026

NPPES CertifiedJuly 23, 2026

✔ NPI 1104747393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers

Taxonomy Code106S00000X

Definition

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.

11240 S RIVER HEIGHTS DR STE 110, South Jordan, UT 84095

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BREAUNA POULSON

Behavior Technician