DE'ZARAE CLARK
NPI 1396545356
Behavior Technician in Southfield, MI
About De'zarae Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DE'ZARAE CLARK (NPI 1396545356) is an individual behavior technician in Southfield, Michigan and active in the NPI registry since March 2025.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 De'zarae Clark's NPI number?
The NPI number for De'zarae Clark is 1396545356. It was assigned to this individual provider in the NPPES registry on March 18, 2025.
Where is De'zarae Clark located?
De'zarae Clark practices at 27600 Northwestern Hwy Ste 150, Southfield, MI 48034. The listed phone number is (833) 455-8622.
What is De'zarae 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 De'zarae Clark was last updated on December 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.