SAM BURK CLARK
NPI 1891395422
Behavior Technician in Salt Lake City, UT

Active since November 01, 2020
515 S. 700 E, SUITE 2A, SALT LAKE CITY, UT 84102(801) 935-4171(801) 935-4946 Get Directions Write a Review

NPPES record last updated: November 1, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1891395422
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameSAM BURK CLARK
Location Address515 S. 700 E, SUITE 2ASalt Lake City, UT 84102-2142
Mailing Address515 S. 700 E, Suite 2aSalt Lake City, UT 84102-2142 · (801) 935-4171 · Fax (801) 935-4946
Fax(801) 935-4946
Sole ProprietorNo
Enumeration DateNovember 1, 2020
NPPES CertifiedNovember 1, 2020
NPI 1891395422 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.
515 S. 700 E, Salt Lake City, UT 84102

Secondary Practice Location 1

Location 1515 S. 700 E, Suite 2ASalt Lake City, UT 84102-2142 · Phone (801) 935-4171 · Fax (801) 935-4946

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.