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

MS. Chanelle Nicole Clark

Individual provider Behavior Technician · NPI 1992407852

MS. Chanelle Nicole Clark is a Behavior Technician in Lynn, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2023.

Licensed in
MA
In the registry since
2023

Practice location Address checks out

37 Kingswood Ln
Lynn, MA 01905-3118
Phone: (781) 476-3013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence S64679223 (MA)

Record details

NPI number1992407852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESMarch 21, 2023
Certification dateMarch 21, 2023

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