SAM BURK CLARK
NPI 1891395422
Behavior Technician in Salt Lake City, UT
About Sam Burk Clark NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAM BURK CLARK (NPI 1891395422) is an individual behavior technician in Salt Lake City, Utah and active in the NPI registry since November 2020. He maintains a secondary practice location in Salt Lake City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Sam Clark's NPI number?
The NPI number for Sam Clark is 1891395422. It was assigned to this individual provider in the NPPES registry on November 1, 2020.
Where is Sam Clark located?
Sam Clark practices at 515 S. 700 E Suite 2A, Salt Lake City, UT 84102. The listed phone number is (801) 935-4171.
What is Sam 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 Sam Clark was last updated on November 1, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.