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

Dystinee M Clark

Individual provider Behavior Technician · NPI 1093334716

Dystinee M Clark is a Behavior Technician in Waipahu, Hawaii. Licensed in Hawaii. Registered with an NPI since 2020.

Licensed in
HI
In the registry since
2020

Practice location Address checks out

94-849 Lumiaina St Unit 201
Waipahu, HI 96797-5677
Phone: (855) 223-7123
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-20-115554 (HI)

Record details

NPI number1093334716
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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