Active NPI
Jeshua Clark
- Behavior Technician
- Humble, TX
National Provider Identifier
1215847033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-403548
- Practice address
- 7160 Foxbrick LN Apt 12106
Humble, TX 77338-6234 - Phone
- (214) 833-6604
- NPI assigned
- Sep 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-403548 | TX | Primary |
Addresses
Primary practice location
7160 Foxbrick LN Apt 12106
Humble, TX 77338-6234
Mailing address
3950 Spring Valley Rd Apt 222
Farmers Branch, TX 75244-3471
Phone (469) 264-2587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1215847033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 SPRING VALLEY RD APT 222",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752443471",
"telephone_number": "469-264-2587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7160 FOXBRICK LN APT 12106",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773386234",
"telephone_number": "214-833-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "JESHUA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "RBT-25-403548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Humble, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.