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

Jakayla Clark

Individual provider Behavior Technician · NPI 1780243964

Jakayla Clark is a Behavior Technician in Winston Salem, North Carolina. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

210 Charlois Blvd
Winston Salem, NC 27103-1508
Phone: (336) 692-7965
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1780243964
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2019
Last updated in NPPESJanuary 22, 2024
Certification dateFebruary 4, 2022

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