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

Ashanti Clark

Individual provider Behavior Technician · NPI 1568175180

Ashanti Clark is a Behavior Technician in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022

Practice location Address checks out

1558 E Blvd Ste A
Kokomo, IN 46902-2587
Phone: (765) 252-0530
Fax: (317) 520-8200
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-225038 (IN)

Record details

NPI number1568175180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 28, 2022
Last updated in NPPESDecember 28, 2022
Certification dateDecember 28, 2022
Mailing address3500 Depauw Blvd Ste 3070, Indianapolis, IN 46268-6135

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