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

Jamillah D Clark

Individual provider Behavior Technician · NPI 1962132415

Jamillah D Clark is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

4218 Burton St SE
Grand Rapids, MI 49546-6121
Phone: (855) 407-7575
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 number1962132415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address4218 Burton St Se, Grand Rapids, MI 49546-6121

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