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

Nicholas Clark

Individual provider Behavior Technician · NPI 1730885112

Nicholas Clark is a Behavior Technician in Stockton, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1811 Grand Canal Blvd Ste 2
Stockton, CA 95207-8107
Phone: (877) 418-2978
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 number1730885112
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2023
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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