What is Dominique Clark's NPI number?

Dominique Clark's National Provider Identifier (NPI) is 1255094157, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Dominique Clark's specialty?

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

Where is Dominique Clark located?

Dominique Clark's practice location on file with NPPES is 19853 Outer Dr Ste 110, Dearborn, MI 48124-2044.

What is Dominique Clark's phone number?

The practice phone number listed in the NPPES registry for Dominique Clark is (313) 406-5056.

Is Dominique Clark's NPI active?

Yes — Dominique Clark's NPI (1255094157) is active in the NPPES registry as of the last update on 2021-10-18.

IndividualActive

Dominique Clark

NPI 1255094157 · Behavior Technician · Dearborn, MI

Dominique Clark is a Behavior Technician provider in Dearborn, MI (NPI 1255094157).

Provider details

NPI number: 1255094157
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(55/100 index)

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

Registry tenure38% of score
4 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

19853 Outer Dr Ste 110

Dearborn, MI 48124-2044

Phone: (313) 406-5056

Street-level locationGet directions

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Mailing address