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

Kendra Clark

Individual provider Behavior Technician · NPI 1639978729

Kendra Clark is a Behavior Technician in Southgate, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1 Heritage Dr
Southgate, MI 48195-3094
Phone: (734) 767-2250
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 number1639978729
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 11, 2025
Last updated in NPPESAugust 26, 2025
Certification dateAugust 26, 2025
Mailing address1 Heritage Dr, Southgate, MI 48195-3094

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