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Dmitrius Clark
NPI 1003386657 · Behavior Technician · Stockton, CA
Dmitrius Clark is a Behavior Technician provider in Stockton, CA (NPI 1003386657).
Provider details
- NPI number
- 1003386657
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3620 W. Hammer Lane
Stockton, CA 95219
Phone: (209) 521-4791
Street-level locationGet directions
Mailing address
3425 Coffee Rd Suite C2
Modesto, CA 95355
Registry dates
- Enumerated
- 2018-11-27
- Last updated
- 2018-11-27
Frequently asked questions
- What is Dmitrius Clark's NPI number?
- Dmitrius Clark's National Provider Identifier (NPI) is 1003386657, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dmitrius Clark's specialty?
- Dmitrius Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dmitrius Clark located?
- Dmitrius Clark's practice location on file with NPPES is 3620 W. Hammer Lane, Stockton, CA 95219.
- What is Dmitrius Clark's phone number?
- The practice phone number listed in the NPPES registry for Dmitrius Clark is (209) 521-4791.
- Is Dmitrius Clark's NPI active?
- Yes — Dmitrius Clark's NPI (1003386657) is active in the NPPES registry as of the last update on 2018-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.