Lindsey Richelle Clark

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-63131 Issued in TN

Practice address

3720 Alumni Ave
Memphis, TN 38111-5914

Phone

(901) 584-8281

NPI assigned

Sep 4, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1740894955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COUNTY ROAD 191",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558677",
            "telephone_number": "901-584-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 ALUMNI AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381115914",
            "telephone_number": "901-584-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LINDSEY",
        "middle_name": "RICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-18-63131",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lindsey.clark@harwoodcenter.org",
            "affiliation": "N",
            "address_1": "3720 Alumni Ave",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381115914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenyada Clark
• Kierra Clark, RCR
• Krystyna Clark
• Latoya Denise Clark, BA
• Linda Marie Clark, FNP
• Lisheena Clark
• Marla D Clark, RPH
• Patrick Nikita Clark
• Paul A Clark II, DDS
• Peyton Lain Clark, PA-C

• Behavior Technician in Memphis, TN
• Providers in Memphis, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.