KEISA LAVETTE CLARK
NPI 1750921417
Behavior Technician in Milford, MI
About Keisa Lavette Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEISA LAVETTE CLARK (NPI 1750921417) is an individual behavior technician in Milford, Michigan and active in the NPI registry since January 2020.
NPPES Registry Identity
Specialties & Licenses
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 Keisa Clark's NPI number?
The NPI number for Keisa Clark is 1750921417. It was assigned to this individual provider in the NPPES registry on January 10, 2020.
Where is Keisa Clark located?
Keisa Clark practices at 3119 Bradford Ct, Milford, MI 48380. The listed phone number is (313) 647-1201.
What is Keisa 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 Keisa Clark was last updated on January 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.