IndividualActive
Dyneesha-Marie Clark
NPI 1497335715 · Behavior Technician · Pooler, GA
Dyneesha-Marie Clark is a Behavior Technician provider in Pooler, GA (NPI 1497335715).
Provider details
- NPI number
- 1497335715
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
105 Grand Central Blvd
Pooler, GA 31322-4148
Phone: (912) 244-3305
Approximate (ZIP-level) locationGet directions
Mailing address
300 International Pkwy Ste 200
Lake Mary, FL 32746-5028
Registry dates
- Enumerated
- 2021-04-11
- Last updated
- 2021-04-11
- Certified
- 2021-04-11
Frequently asked questions
- What is Dyneesha-Marie Clark's NPI number?
- Dyneesha-Marie Clark's National Provider Identifier (NPI) is 1497335715, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dyneesha-Marie Clark's specialty?
- Dyneesha-Marie Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dyneesha-Marie Clark located?
- Dyneesha-Marie Clark's practice location on file with NPPES is 105 Grand Central Blvd, Pooler, GA 31322-4148.
- What is Dyneesha-Marie Clark's phone number?
- The practice phone number listed in the NPPES registry for Dyneesha-Marie Clark is (912) 244-3305.
- Is Dyneesha-Marie Clark's NPI active?
- Yes — Dyneesha-Marie Clark's NPI (1497335715) is active in the NPPES registry as of the last update on 2021-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.