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

Ellen Clark

Individual provider Behavior Technician · NPI 1083414569

Ellen Clark is a Behavior Technician in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4213 Corby St
Omaha, NE 68111-3454
Phone: (402) 980-6637
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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 number1083414569
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 14, 2025
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address2522 S 48th St, Omaha, NE 68106-3215

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