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

Kaytelynne Athena Marie Clark

Individual provider Behavior Technician · NPI 1497394431

Kaytelynne Athena Marie Clark is a Behavior Technician in Kentwood, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3361 36th St SE
Kentwood, MI 49512-2809
Phone: (616) 301-8000
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 number1497394431
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2019
Last updated in NPPESDecember 21, 2019
Certification dateDecember 21, 2019

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