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

Mrs. Jessica M Clark

Individual provider Behavior Technician · NPI 1053032110

Mrs. Jessica M Clark is a Behavior Technician in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2022.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

3416 S Dixon Rd Ste B
Kokomo, IN 46902-5644
Phone: (765) 431-7705
Fax: (765) 319-0605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (IN)

Record details

NPI number1053032110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 7, 2022
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022

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