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

Jerald Lamont Clark

Individual provider Behavior Technician · NPI 1306724612

Jerald Lamont Clark is a Behavior Technician in Long Beach, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4300 Long Beach Blvd Ste 100
Long Beach, CA 90807-2008
Phone: (855) 223-7123
Fax: (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

Record details

NPI number1306724612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2025
Last updated in NPPESAugust 25, 2025
Certification dateAugust 25, 2025
Mailing addressPo Box 33568, San Diego, CA 92163-3568

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