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

De'Zarae Clark

Individual provider Behavior Technician · NPI 1396545356

De'Zarae Clark is a Behavior Technician in Southfield, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

27600 Northwestern Hwy Ste 150
Southfield, MI 48034-8400
Phone: (833) 455-8622
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 number1396545356
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2025
Last updated in NPPESDecember 20, 2025
Certification dateDecember 20, 2025
Mailing address27600 Northwestern Hwy Ste 150, Southfield, MI 48034-8400

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