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

Tucker Clark

Individual provider Behavior Technician · NPI 1184408742

Tucker Clark is a Behavior Technician in Shawnee, Kansas. Licensed in Hawaii. Registered with an NPI since 2023.

Licensed in
HI
In the registry since
2023
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Practice location Address checks out

6910 Silverheel St
Shawnee, KS 66226-5316
Phone: (913) 405-4550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-287185 (HI)

Record details

NPI number1184408742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address752 N Persimmon Dr, Olathe, KS 66061-5965

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