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

Alyssa B Clark

Individual provider Behavior Technician · NPI 1124809983

Alyssa B Clark is a Behavior Technician in Fairfield, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2

Practice location Address checks out

6570 Sosna Dr
Fairfield, OH 45014-2222
Phone: (513) 942-4673
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1124809983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 9, 2023
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024
Mailing address100 Crowne Point Pl, Cincinnati, OH 45241-5427

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