Ms. Chanelle N Clark
Behavior Technician in Lynn, Massachusetts
1992407852- Practice location
- 37 Kingswood Ln, Lynn, MA 01905-3118
- Phone
- 781-476-3013
- Fax
- —
- Last updated
- March 21, 2023
Chanelle Nicole Clark is a Behavior Technician based in Lynn, MA. Chanelle Nicole Clark practices in Lynn, MA. The NPI Number for Chanelle Nicole Clark is 1992407852 and holds a License No. S64679223 (MA). The current practice location address for Chanelle Nicole Clark is 37 Kingswood Ln, Lynn, MA 01905-3118 and can be reached out via phone at 781-476-3013.
Provider Profile Details
- NPI Number
- 1992407852
- Provider Name
- Chanelle Nicole Clark
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 37 Kingswood Ln, Lynn, MA 01905-3118
- Phone Number
- 781-476-3013
- Primary Taxonomy
- Behavior Technician · 106S00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2023
- Last Update Date
- March 21, 2023
- Certification Date
- March 21, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 37 Kingswood Ln
Lynn, MA 01905-3118 - City
- Lynn
- State
- Massachusetts
- Zip
- 01905-3118
- Phone Number
- 781-476-3013
Provider Business Mailing Address Details
- Address
- 37 Kingswood Ln
Lynn, MA 01905-3118 - City
- Lynn
- State
- MA
- Zip
- 01905-3118
- Phone Number
- 781-476-3013
License Information
- License Number
- S64679223
- License State
- MA
- Taxonomy
- Behavior Technician · 106S00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Chanelle N Clark?
The NPI number of Ms. Chanelle N Clark is 1992407852. It was assigned on March 21, 2023 and is currently active in the NPPES registry.
What is the specialty of Ms. Chanelle N Clark?
Ms. Chanelle N Clark is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in MA under license number S64679223.
Where does Ms. Chanelle N Clark practice?
The practice location is 37 Kingswood Ln, Lynn, MA 01905-3118. The office can be reached at 781-476-3013 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992407852 directly on the NPPES registry website.