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

Dakota R Clark

Individual provider Behavior Technician · NPI 1437768850

Dakota R Clark is a Behavior Technician in Douglasville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020

Practice location Address checks out

9559 Highway 5 Ste 601
Douglasville, GA 30135-1572
Phone: (470) 632-5276
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-20-114381 (GA)

Record details

NPI number1437768850
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2020
Last updated in NPPESJuly 31, 2020
Certification dateJuly 31, 2020

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