Teryl Lashawnn Clark, M.S.

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

326 N Ridgewood Dr Ste C
Sebring, FL 33870-7205

Phone

(786) 332-6632

Fax

(305) 418-7578

NPI assigned

Feb 14, 2022

Last updated

Feb 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Behavioral Solutions, LLC

  • Behavior Analyst
  • Sebring, FL
  • NPI 1114378452

  Single Specialty

  NPD
• Blossoms Therapy Center Inc.

  dba Blossoms Developmental Therapy Associates

  • Community/Behavioral Health Agency
  • Sebring, FL
  • NPI 1629490909
  NPD
• Synergy ABA Central Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1164206207

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1679228134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 W 16TH AVE STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127666",
            "telephone_number": "786-332-6632",
            "fax_number": "305-418-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N RIDGEWOOD DR STE C",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707205",
            "telephone_number": "786-332-6632",
            "fax_number": "305-418-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "TERYL",
        "middle_name": "LASHAWNN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Deleon Cimmino
• City Circle ER SVCS Partnership LLC
• Lenais Clairilus
• Patrick Timothy Clark, P.A-C
• Robert T Clark Sr., D.C.
• Angela Click
• Jane Sorrells Cline
• Clyde C. Vanterpool, M.D., P.a.
• CMS Irrv Complex Trust (Sebring Medical Walk-in Clinic)
• Coast Dental P.a. (Coast Dental-Sebring)

• Behavior Technician in Sebring, FL
• Providers in Sebring, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.