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

Nathanael Bryant Clark, BEHAVIORTECHNICIAN

Individual provider Behavior Technician · NPI 1811621311

Nathanael Bryant Clark, BEHAVIORTECHNICIAN is a Behavior Technician in Salem, Virginia. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1630 Braeburn Dr
Salem, VA 24153-7371
Phone: (844) 854-1116
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 number1811621311
Entity typeIndividual (Type 1)
GenderMale
Credentials BEHAVIORTECHNICIAN
Sole proprietorNo
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

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