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

Sam Burk Clark

Individual provider Behavior Technician · NPI 1891395422

Sam Burk Clark is a Behavior Technician in Salt Lake City, Utah. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

515 S 700 E Ste 2A
Salt Lake City, UT 84102-2142
Phone: (801) 935-4171
Fax: (801) 935-4946
Show map & directions

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

Additional practice locations (1)

  • 515 S. 700 E, Salt Lake City, UT 84102-2142 — (801) 935-4171

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1891395422
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 1, 2020
Last updated in NPPESNovember 1, 2020
Certification dateNovember 1, 2020

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