Active NPI
Megan Kathryn Clark, RBT
- Behavior Technician
- Frederick, MD
National Provider Identifier
1326622606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-125014
- Practice address
- 706 West Patrick St
Frederick, MD 21701-2170 - Phone
- (301) 882-7932
- Fax
- (301) 500-2173
- NPI assigned
- May 12, 2021
- Sex
- Female
- Sole proprietor
- No
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-20-125014 | Primary |
Addresses
Primary practice location
706 West Patrick St
Frederick, MD 21701-2170
Mailing address
4658 Newington Road
Jefferson, MD 21755
Phone (240) 626-5502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RBT-20-125014 | Other | REGISTERED BEHAVIOR TECHNICIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1326622606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4658 NEWINGTON ROAD",
"city": "JEFFERSON",
"state": "MD",
"postal_code": "21755",
"telephone_number": "240-626-5502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 WEST PATRICK ST",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217012170",
"telephone_number": "301-882-7932",
"fax_number": "301-500-2173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARK",
"first_name": "MEGAN",
"middle_name": "KATHRYN",
"name_prefix": "Mrs.",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-125014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED BEHAVIOR TECHNICIAN",
"identifier": "RBT-20-125014",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.