MS. CHANELLE NICOLE CLARK
NPI 1992407852
Behavior Technician in Lynn, MA

Active since March 21, 2023
37 KINGSWOOD LN, LYNN, MA 01905(781) 476-3013 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Chanelle Nicole Clark NPPES

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

MS. CHANELLE NICOLE CLARK (NPI 1992407852) is an individual behavior technician in Lynn, Massachusetts, licensed in Massachusetts (S64679223) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1992407852
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMS. CHANELLE NICOLE CLARK
Location Address37 KINGSWOOD LNLynn, MA 01905-3118
Mailing Address37 Kingswood LnLynn, MA 01905-3118 · (781) 476-3013
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1992407852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in MA · S64679223
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.
37 KINGSWOOD LN, Lynn, MA 01905

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 Chanelle Clark's NPI number?

The NPI number for Chanelle Clark is 1992407852. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Chanelle Clark located?

Chanelle Clark practices at 37 Kingswood Ln, Lynn, MA 01905. The listed phone number is (781) 476-3013.

What is Chanelle 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 Chanelle Clark was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.