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

Samantha Jo Clark

Individual provider Behavior Technician · NPI 1225645617

Samantha Jo Clark is a Behavior Technician in Adrian, Michigan. Licensed in Michigan. Registered with an NPI since 2020.

Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

1424 S Main St
Adrian, MI 49221-4309
Phone: (517) 312-1711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002239 (MI)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1225645617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2020
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

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