Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alise M Clark, BEHAVIORTECHNICIAN

Individual provider Behavior Technician · NPI 1497479729

Alise M Clark, BEHAVIORTECHNICIAN is a Behavior Technician in Cookeville, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1680 S Jefferson Ave Ste F&g
Cookeville, TN 38506-2526
Phone: (854) 844-1116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1497479729
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHAVIORTECHNICIAN
Sole proprietorNo
NPI enumeratedSeptember 29, 2022
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

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