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

Jessica Martha Jo Clark

Individual provider Behavior Technician · NPI 1700775178

Jessica Martha Jo Clark is a Behavior Technician in Broken Arrow, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3501 W Kenosha St
Broken Arrow, OK 74012-8948
Phone: (918) 994-2764
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 number1700775178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Other providers in Broken Arrow