Jessica Clarke

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1 Dunwoody Park Ste 220
Dunwoody, GA 30338-7404

Phone

(470) 702-9400

NPI assigned

Jan 28, 2025

Last updated

Feb 11, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1063225605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5306 CHARLESTON PL",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386467",
            "telephone_number": "770-634-2482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DUNWOODY PARK STE 220",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387404",
            "telephone_number": "470-702-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Wen Hui Chong, OTR/L
• Woojae Chong, D.M.D.
• Ana-Sophia Chung
• Citizen Healthcare, LLC (Citizen Hospice)
• Laycee Claes, LD, RD
• Clear Minds Family Center Georgia LLC
• CM Practice Group LLC
• Kristin Ann Coggin, LPC
• Sandra Lynn Cohen, D.D.S.
• Tal Cohen

• Behavior Technician in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.