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

Kaylen Clark

Individual provider Behavior Technician · NPI 1013748235

Kaylen Clark is a Behavior Technician in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

5072 Lavista Rd
Tucker, GA 30084-3500
Phone: (706) 842-5330
Fax: (706) 842-5340
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-368487 (GA)

Record details

NPI number1013748235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 9, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024
Mailing address209 7th St Fl 3, Augusta, GA 30901-1486

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