KOURTNEY CLARK
NPI 1912655911
Behavior Technician in Corona, CA

Active since March 17, 2022
1295 CORONA POINTE CT STE 102, CORONA, CA 92879(855) 223-7123(619) 374-7134 Get Directions Write a Review

NPPES record last updated: March 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kourtney Clark NPPES

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

KOURTNEY CLARK (NPI 1912655911) is an individual behavior technician in Corona, California and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1912655911
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKOURTNEY CLARK
Location Address1295 CORONA POINTE CT STE 102Corona, CA 92879-1721
Mailing Address16782 Von Karman Ave Ste 11Irvine, CA 92606-2417 · (855) 223-7123 · Fax (619) 374-7134
Fax(619) 374-7134
Sole ProprietorNo
Enumeration DateMarch 17, 2022
NPPES CertifiedMarch 17, 2022
NPI 1912655911 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.

1295 CORONA POINTE CT STE 102, Corona, CA 92879

Other Providers at the Same Location NPPES 20

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

Behavior Analyst
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879
Behavior Technician
1295 CORONA POINTE CT STE 102
CORONA, CA 92879

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912655911, enumerated as an "individual" on March 17, 2022.

The provider is located at 1295 CORONA POINTE CT STE 102 CORONA, CA 92879 and the phone number is (855) 223-7123.

Behavior Technician with taxonomy code 106S00000X.