SHANEQUA CLARK
NPI 1336684679
Assistant Behavior Analyst in Bronx, NY

Active since December 22, 2016
628 TINTON AVE, 3RD FLOOR P17X @161, BRONX, NY 10455(718) 993-5642 Get Directions Write a Review

NPPES record last updated: December 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanequa Clark NPPES

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

SHANEQUA CLARK (NPI 1336684679) is an individual assistant behavior analyst provider in Bronx, New York and active in the NPI registry since December 2016.

NPPES Registry Identity

NPI1336684679
Entity TypeIndividualFemale
Primary Taxonomy106E00000X
Provider Legal NameSHANEQUA CLARK
Location Address628 TINTON AVE, 3RD FLOOR P17X @161Bronx, NY 10455
Mailing Address30 Ehrbar Ave Apt 409Mount Vernon, NY 10552-3674
Sole ProprietorYes
Enumeration DateDecember 22, 2016
NPI 1336684679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code106E00000X
Definition
An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.
628 TINTON AVE, Bronx, NY 10455

Other Providers at the Same Location NPPES 8

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

Occupational Therapist
628 TINTON AVE
BRONX, NY 10455
Speech-Language Pathologist
628 TINTON AVE
BRONX, NY 10455
Specialist
628 TINTON AVE
BRONX, NY 10455
Physical Therapist
628 TINTON AVE
BRONX, NY 10455
Speech-Language Pathologist
628 TINTON AVE
BRONX, NY 10455
Speech-Language Pathologist
628 TINTON AVE
BRONX, NY 10455
Speech-Language Pathologist
628 TINTON AVE
BRONX, NY 10455
Clinic/Center (Federally Qualified Health Center (FQHC))
628 TINTON AVE
BRONX, NY 10455

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 Shanequa Clark's NPI number?

The NPI number for Shanequa Clark is 1336684679. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Where is Shanequa Clark located?

Shanequa Clark practices at 628 Tinton Ave 3rd Floor P17x @161, Bronx, NY 10455. The listed phone number is (718) 993-5642.

What is Shanequa Clark's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

When was this NPI record last updated?

The NPPES record for Shanequa Clark was last updated on December 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.