DEJA CLARK
NPI 1790355790
Behavior Technician in Alexandria, VA

Active since June 30, 2021
6180 GROVEDALE CT # 200, ALEXANDRIA, VA 22310(844) 244-1818 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Deja Clark NPPES

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

DEJA CLARK (NPI 1790355790) is an individual behavior technician in Alexandria, Virginia and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1790355790
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameDEJA CLARK
Location Address6180 GROVEDALE CT # 200Alexandria, VA 22310-2552
Mailing Address1500 Douglas Road, Suite 230Coral Gables, FL 33134 · (844) 854-1116 · Fax (305) 846-9711
Sole ProprietorNo
Enumeration DateJune 30, 2021
NPPES CertifiedJune 30, 2021
NPI 1790355790 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.

6180 GROVEDALE CT # 200, Alexandria, VA 22310

Other Identifiers 1

Medicaid70337054DC

Other Providers at the Same Location NPPES 9

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

Behavior Analyst
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Analyst
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Technician
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Technician
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Technician
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Technician
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Analyst
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310
Behavior Technician
6180 GROVEDALE CT # 200
ALEXANDRIA, VA 22310

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 Deja Clark's NPI number?

The NPI number for Deja Clark is 1790355790. It was assigned to this individual provider in the NPPES registry on June 30, 2021.

Where is Deja Clark located?

Deja Clark practices at 6180 Grovedale Ct # 200, Alexandria, VA 22310. The listed phone number is (844) 244-1818.

What is Deja 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 Deja Clark was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.