MRS. DYNEESHA-MARIE CLARK
NPI 1497335715
Behavior Technician in Pooler, GA

Active since April 11, 2021
105 GRAND CENTRAL BLVD, POOLER, GA 31322(912) 244-3305 Get Directions Write a Review

NPPES record last updated: April 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Dyneesha-marie Clark NPPES

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

MRS. DYNEESHA-MARIE CLARK (NPI 1497335715) is an individual behavior technician in Pooler, Georgia and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1497335715
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMRS. DYNEESHA-MARIE CLARK
Location Address105 GRAND CENTRAL BLVDPooler, GA 31322-4148
Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-5028 · (866) 610-0580
Sole ProprietorNo
Enumeration DateApril 11, 2021
NPPES CertifiedApril 11, 2021
NPI 1497335715 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.

105 GRAND CENTRAL BLVD, Pooler, GA 31322

Other Providers at the Same Location NPPES 13

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

Family Medicine
105 GRAND CENTRAL BLVD, SUITE 107
POOLER, GA 31322
Social Worker (Clinical)
105 GRAND CENTRAL BLVD, SUITE 107
POOLER, GA 31322
Optometrist
105 GRAND CENTRAL BLVD, SUITE 110
POOLER, GA 31322
Internal Medicine (Pulmonary Disease)
105 GRAND CENTRAL BLVD, SUITE 108
POOLER, GA 31322
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Behavior Technician
105 GRAND CENTRAL BLVD
POOLER, GA 31322
Optometrist
105 GRAND CENTRAL BLVD, SUITE #110
POOLER, GA 31322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497335715, enumerated as an "individual" on April 11, 2021.

The provider is located at 105 GRAND CENTRAL BLVD POOLER, GA 31322 and the phone number is (912) 244-3305.

Behavior Technician with taxonomy code 106S00000X.