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SAMANTHA JO CLARK
NPI 1225645617
Behavior Analyst in Adrian, MI

Active since September 29, 2020
1424 S MAIN ST, ADRIAN, MI 49221(517) 312-1711 Get Directions Write a Review

NPPES record last updated: November 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2023, Sep 29, 2020 (2 updates tracked since 2020).

About Samantha Jo Clark NPPES

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

SAMANTHA JO CLARK (NPI 1225645617) is an individual behavior analyst provider in Adrian, Michigan, licensed in Michigan (7401002239) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1225645617
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSAMANTHA JO CLARK
Location Address1424 S MAIN STAdrian, MI 49221-4309
Mailing Address1424 S Main StAdrian, MI 49221-4309 · (517) 312-1711
Phone(517) 312-1711
Sole ProprietorNo
Enumeration DateSeptember 29, 2020
Last NPPES UpdateNovember 9, 20232 updates tracked since enumeration
NPPES CertifiedNovember 9, 2023
✔ NPI 1225645617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MI · 7401002239
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedBehavior TechnicianTaxonomy 106S00000X
1424 S MAIN ST, Adrian, MI 49221
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

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.

MEGAN EGGLESTON
Behavior Technician
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1711
KAYLA B SMITH PT, DPT
Physical Therapist
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1711
BROOKE CATHERINE OSBORN
Behavior Technician
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1711
STEPHANIE OLSZEWSKI OT
Occupational Therapist
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1712
SYDNEY DETERS
Behavior Technician
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1711
CELESTE BLACKMORE
Behavior Technician
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1711
ALLYSON MCNICOL
Behavior Technician
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1711
SAMANTHA EMILY SMITH
Occupational Therapist
1424 S MAIN ST
ADRIAN, MI 49221
Lenawee County (517) 312-1712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Clark's NPI number?

The NPI number for Samantha Clark is 1225645617. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Samantha Clark located?

Samantha Clark practices at 1424 S Main St, Adrian, MI 49221. The listed phone number is (517) 312-1711.

What is Samantha Clark's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Samantha Clark accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Samantha Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Clark was last updated on November 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.