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

Keisa Lavette Clark

Individual provider Behavior Technician · NPI 1750921417

Keisa Lavette Clark is a Behavior Technician in Milford, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

3119 Bradford Ct
Milford, MI 48380-2034
Phone: (313) 647-1201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (MI)

Record details

NPI number1750921417
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESJanuary 10, 2020
Certification dateJanuary 10, 2020

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