MRS. DYNEESHA-MARIE CLARK
NPI 1497335715
Behavior Technician in Pooler, GA

NPI Status: Active since April 11, 2021

Contact Information

105 GRAND CENTRAL BLVD
POOLER, GA
ZIP 31322
Phone: (912) 244-3305

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  • Individual
  • Female
  • Behavior Technician

About DYNEESHA-MARIE CLARK

This page provides the complete NPI Profile along with additional information for Dyneesha-marie Clark, a provider established in Pooler, Georgia with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1497335715 assigned on April 2021. The practitioner's primary taxonomy code is 106S00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1497335715
Provider Name
MRS. DYNEESHA-MARIE CLARK
Gender
Female
Entity Type
Individual
Location Address
105 GRAND CENTRAL BLVD POOLER, GA 31322
Location Phone
(912) 244-3305
Mailing Address
300 INTERNATIONAL PKWY STE 200 LAKE MARY, FL 32746
Mailing Phone
(866) 610-0580
Is Sole Proprietor?
No
Enumeration Date
04-11-2021
Last Update Date
04-11-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497335715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187631072
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 3 + 1 + 0 + 7 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1497335715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194741850CANDLER MEDICAL GROUP INC - GLENNVILLE
Organization
Family Medicine105 GRAND CENTRAL BLVD SUITE 107
POOLER, GA 31322
(912) 748-1999
1336463744SALEM COUNSELING AND CONSULTING, LLC
Organization
Social Worker (Clinical)105 GRAND CENTRAL BLVD SUITE 107
POOLER, GA 31322
(912) 308-8318
1497001382DR. LEEWOOD BRAWNER STILL O.D.
Individual
Optometrist105 GRAND CENTRAL BLVD SUITE 110
POOLER, GA 31322
(912) 450-9200
1235591652SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Organization
Internal Medicine (Pulmonary Disease)105 GRAND CENTRAL BLVD SUITE 108
POOLER, GA 31322
(912) 629-2290
1790377315 MYA SMILEY
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(866) 610-0580
1568049344 MORGAN LARISSA BROWN
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305
1346819521 IDASHA LEE
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305
1760883904MYEYEDR OPTOMETRY OF GEORGIA, LLC
Organization
Optometrist105 GRAND CENTRAL BLVD SUITE #110
POOLER, GA 31322
(912) 450-9200
1053042580 ARION IMANI BREVARD
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 446-2473
1922720846MISS SYDNIE LEEANN JENKINS
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305
1952097867 TYREE JARELL THOMAS
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305
1881455251 OLIVIA VINSACK
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305
1972255032 SYDNEY ALEXA ARTHUR
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(330) 591-2244
1710700711 SHALEADER LAING
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305
1790501443 JOHN LEWIS RBT
Individual
Behavior Technician105 GRAND CENTRAL BLVD
POOLER, GA 31322
(912) 244-3305

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497335715, enumerated in the NPI registry as an "individual" on April 11, 2021

The provider is located at 105 Grand Central Blvd Pooler, Ga 31322 and the phone number is (912) 244-3305

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on April 11, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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