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

Chantell Lee' Patrice Clark

Individual provider Behavior Technician · NPI 1407743206

Chantell Lee' Patrice Clark is a Behavior Technician in Grand Prairie, Texas. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

3655 Prairie Waters Dr Apt 6109
Grand Prairie, TX 75052-7188
Phone: (908) 613-2428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407743206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 23, 2025
Last updated in NPPESJune 23, 2025
Certification dateJune 23, 2025

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