JERALD LAMONT CLARK
NPI 1306724612
Behavior Technician in Long Beach, CA

Active since August 25, 2025
4300 LONG BEACH BLVD STE 100, LONG BEACH, CA 90807(855) 223-7123(855) 223-7123 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerald Lamont Clark NPPES

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

JERALD LAMONT CLARK (NPI 1306724612) is an individual behavior technician in Long Beach, California and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1306724612
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJERALD LAMONT CLARK
Location Address4300 LONG BEACH BLVD STE 100Long Beach, CA 90807-2008
Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123
Fax(855) 223-7123
Sole ProprietorNo
Enumeration DateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
NPI 1306724612 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.
4300 LONG BEACH BLVD STE 100, Long Beach, CA 90807

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.

Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807
Behavior Technician
4300 LONG BEACH BLVD STE 100
LONG BEACH, CA 90807

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 Jerald Clark's NPI number?

The NPI number for Jerald Clark is 1306724612. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Where is Jerald Clark located?

Jerald Clark practices at 4300 Long Beach Blvd Ste 100, Long Beach, CA 90807. The listed phone number is (855) 223-7123.

What is Jerald Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerald Clark was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.