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

Clarencetta Clark Carlisle

Individual provider Behavior Technician · NPI 1215470984

Clarencetta Clark Carlisle is a Behavior Technician in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

882 Oakman Blvd
Detroit, MI 48238-3710
Phone: (313) 481-1210
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 number1215470984
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 29, 2016
Last updated in NPPESNovember 29, 2016

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