Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CHANELLE NICOLE CLARK
ActiveMS. CHANELLE NICOLE CLARK is a Behavior Technician healthcare provider located in LYNN, Massachusetts. NPI 1992407852 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · LYNN, MA
Registration Details
- NPI Number
- 1992407852
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2023 (3.3956139315462 yrs)
- Last Updated
- Mar 21, 2023
- License
-
S64679223 (MA)
Practice Information
- Address
-
37 KINGSWOOD LNLYNN, MA, 019053118Browse MA providers · Browse ZIP 01905
- Phone
- 7814763013
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in LYNN, MA
| Name | Credential | NPI |
|---|---|---|
| KATHY AMIESYS BAUTISTA | — | 1487179347 |
| NINA SMITH | — | 1396258976 |
| JENNIFER DUBON | — | 1265084602 |
| DEREK ROACH | — | 1700427135 |
| MADELINE O'BRYANT | — | 1679111645 |
| THAI LEA IV | — | 1083248561 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.