IndividualActive
Breonna Clark
NPI 1689241861 · Behavior Technician · Benton Harbor, MI
Breonna Clark is a Behavior Technician provider in Benton Harbor, MI (NPI 1689241861).
Provider details
- NPI number
- 1689241861
- 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
1651 E Nickerson Ave
Benton Harbor, MI 49022-2469
Phone: (269) 983-5833
Street-level locationGet directions
Mailing address
1869 Union Ave Apt 3d
Benton Harbor, MI 49022-6241
Registry dates
- Enumerated
- 2021-06-07
- Last updated
- 2021-06-07
- Certified
- 2021-06-07
Frequently asked questions
- What is Breonna Clark's NPI number?
- Breonna Clark's National Provider Identifier (NPI) is 1689241861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Breonna Clark's specialty?
- Breonna Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Breonna Clark located?
- Breonna Clark's practice location on file with NPPES is 1651 E Nickerson Ave, Benton Harbor, MI 49022-2469.
- What is Breonna Clark's phone number?
- The practice phone number listed in the NPPES registry for Breonna Clark is (269) 983-5833.
- Is Breonna Clark's NPI active?
- Yes — Breonna Clark's NPI (1689241861) is active in the NPPES registry as of the last update on 2021-06-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.