IndividualActive
Julia Clark, RBT
NPI 1417819087 · Behavior Technician · Cordova, TN
Provider details
- NPI number
- 1417819087
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- Yes
- License
- RBT-24-395929 (OK)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 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
100% 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
8090 Walnut Run Rd
Cordova, TN 38018-6362
Phone: (901) 509-8347
Street-level locationGet directions
Mailing address
901 Lackey Rd
Marion, AR 72364-5016
Registry dates
- Enumerated
- 2025-12-02
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.