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

Jerry Clark

Individual provider Behavior Technician · NPI 1710465919

Jerry Clark is a Behavior Technician in Farmington Hills, Michigan. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

27777 Inkster Rd Ste 100
Farmington Hills, MI 48334-5326
Phone: (248) 299-0030
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 number1710465919
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020

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