NPI age
4 years
Enumerated 2022-01-31
● Active
Type 1 · Individual
MISS Lesley Ann Clark
Clark is 1 of 8 behavior technician providers in Woodbine and 1 of 11766 in Georgia.
Primary specialty
Behavior Technician
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-31
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 11766 active behavior technician providers in Georgia.
NPI age
4 years
↑ 2 yr above median (2 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
2% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Practice location
408 Bedell Ave
Woodbine, GA 315693585
Mailing address
1201 Shadowlawn Dr Ste 112
Saint Marys, GA 315584074
Specialties
-
Behavior Technician PrimaryThe 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...
Practice context
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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