IndividualActive
Alise Clark, BEHAVIOR TECHNICIAN
NPI 1497479729 · Behavior Technician · Cookeville, TN
Provider details
- NPI number
- 1497479729
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- BEHAVIOR TECHNICIAN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1680 S Jefferson Ave Ste F&g
Cookeville, TN 38506-2526
Phone: (854) 844-1116
Approximate (ZIP-level) locationGet directions
Mailing address
1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108
Registry dates
- Enumerated
- 2022-09-29
- Last updated
- 2022-09-29
- Certified
- 2022-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.