Dominique Clark

ActiveIndividual ProviderBehavior Technician
NPI issued: February 20, 2017

Quick Facts

NPI Number
1609315910
TypeIndividual
StatusActive
SpecialtyBehavior Technician
Taxonomy106S00000X — Behavior Technician
Phone
(727) 744-4583
StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1609315910)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (February 20, 2017)
Data source: CMS NPPES

Provider Overview

DOMINIQUE CLARK is a Behavior Technician provider based in Largo, FL who has been registered with CMS since 2017. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1609315910
Provider TypeIndividual Provider
GenderFemale
StatusActive
Enumeration DateFebruary 20, 2017

Practice Location

CityLargo
StateFL
ZIP Code33778-3320
Phone(727) 744-4583

Specialties & Licenses

★ Primary
SpecialtyBehavior Technician
Taxonomy Code106S00000X
License StateFL

Mailing Address

CityLargo
StateFL
ZIP Code33778-3320
Phone(727) 744-4583
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1609315910 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1609315910for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1609315910 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Behavior Technician

Behavior Technicians work under the supervision of a Board Certified Behavior Analyst (BCBA) to implement behavioral therapy plans, typically assisting individuals with Autism Spectrum Disorder (ASD) or other developmental delays.

Browse all Behavior Technicianproviders →
📊
572,432
Behavior Technician Providers in the US

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People Also Ask

What is Dominique Clark's NPI number?
Dominique Clark's NPI number is 1609315910, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Dominique Clark's NPI currently active?
Yes, Dominique Clark's NPI status is Active as of the latest CMS NPPES database updates.
What does Dominique Clark specialize in?
Dominique Clark specializes in Behavior Technician. The healthcare taxonomy code associated with this specialty is 106S00000X.
Where does Dominique Clark practice?
Dominique Clark practices in Largo, FL 33778-3320.
When was Dominique Clark's NPI issued?
Dominique Clark's NPI was issued on February 20, 2017.
What is Dominique Clark's provider type?
Dominique Clark is registered as an Individual Provider under CMS NPI Type 1.