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

Frederick Clark

Individual provider Behavior Technician · NPI 1922512607

Frederick Clark is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone: (616) 831-5660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1922512607
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 17, 2017
Last updated in NPPESMarch 17, 2025
Certification dateMarch 13, 2025
Mailing address3300 36th St Se, Grand Rapids, MI 49512-2810

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