What is Antwan Clark's NPI number?

Antwan Clark's National Provider Identifier (NPI) is 1053180398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Antwan Clark's specialty?

Antwan Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Antwan Clark located?

Antwan Clark's practice location on file with NPPES is 407 Tori Dr Ste 2, Winder, GA 30680-5209.

What is Antwan Clark's phone number?

The practice phone number listed in the NPPES registry for Antwan Clark is (770) 800-0891.

Is Antwan Clark's NPI active?

Yes — Antwan Clark's NPI (1053180398) is active in the NPPES registry as of the last update on 2023-12-28.

IndividualActive

Antwan Clark

NPI 1053180398 · Behavior Technician · Winder, GA

Antwan Clark is a Behavior Technician provider in Winder, GA (NPI 1053180398).

Provider details

NPI number: 1053180398
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(51/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 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

407 Tori Dr Ste 2

Winder, GA 30680-5209

Phone: (770) 800-0891

Street-level locationGet directions

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Mailing address