KEISA LAVETTE CLARK
NPI 1750921417
Behavior Technician in Milford, MI

Active since January 10, 2020
3119 BRADFORD CT, MILFORD, MI 48380(313) 647-1201 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1750921417
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKEISA LAVETTE CLARK
Location Address3119 BRADFORD CTMilford, MI 48380-2034
Mailing Address3119 Bradford CtMilford, MI 48380-2034 · (313) 647-1201
Sole ProprietorNo
Enumeration DateJanuary 10, 2020
NPI 1750921417 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.
3119 BRADFORD CT, Milford, MI 48380

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.