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Jerald Clark
NPI 1306724612 · Behavior Technician · Long Beach, CA
Jerald Clark is a Behavior Technician provider in Long Beach, CA (NPI 1306724612).
Provider details
- NPI number
- 1306724612
- 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
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4300 Long Beach Blvd Ste 100
Long Beach, CA 90807-2008
Phone: (855) 223-7123
Fax: (855) 223-7123
Street-level locationGet directions
Mailing address
Po Box 33568
San Diego, CA 92163-3568
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Jerald Clark's NPI number?
- Jerald Clark's National Provider Identifier (NPI) is 1306724612, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerald Clark's specialty?
- Jerald Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jerald Clark located?
- Jerald Clark's practice location on file with NPPES is 4300 Long Beach Blvd Ste 100, Long Beach, CA 90807-2008.
- What is Jerald Clark's phone number?
- The practice phone number listed in the NPPES registry for Jerald Clark is (855) 223-7123.
- Is Jerald Clark's NPI active?
- Yes — Jerald Clark's NPI (1306724612) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.