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

Miss. Nicole Elizabeth Clark I

Individual provider Behavior Technician · NPI 1750274858

Miss. Nicole Elizabeth Clark I is a Behavior Technician in Benton Harbor, Michigan. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1651 E Nickerson Ave
Benton Harbor, MI 49022-2469
Phone: (269) 876-5697
Fax: (269) 359-3730
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 number1750274858
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025

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