Individual provider Active NPI

Larry L Clark

  • Behavior Technician
  • Youngstown, OH
National Provider Identifier
1992672000
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7423 Tiffany S
Youngstown, OH 44514-3908
Phone
(330) 629-2955
Fax
(330) 629-2956
NPI assigned
Oct 22, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OH Primary

Addresses

Primary practice location

7423 Tiffany S
Youngstown, OH 44514-3908

Mailing address

7423 Tiffany S
Youngstown, OH 44514-3908
Phone (330) 629-2955

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Center for Childhood Development CurrentSince Nov 7, 2025 Accepting new patients
Absolute Behavior Health Care LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

7423 Tiffany S
Youngstown, OH 44514
Phone (330) 629-2955

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1992672000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7423 TIFFANY S",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143908",
            "telephone_number": "330-629-2955",
            "fax_number": "330-629-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7423 TIFFANY S",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143908",
            "telephone_number": "330-629-2955",
            "fax_number": "330-629-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "LARRY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.