IndividualActive
Jessica Clark
NPI 1700775178 · Behavior Technician · Broken Arrow, OK
Jessica Clark is a Behavior Technician provider in Broken Arrow, OK (NPI 1700775178).
Provider details
- NPI number
- 1700775178
- 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(48/100 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
3501 W Kenosha St
Broken Arrow, OK 74012-8948
Phone: (918) 994-2764
Street-level locationGet directions
Mailing address
3501 W Kenosha St
Broken Arrow, OK 74012-8948
Registry dates
- Enumerated
- 2025-07-01
- Last updated
- 2025-07-01
- Certified
- 2025-07-01
Frequently asked questions
- What is Jessica Clark's NPI number?
- Jessica Clark's National Provider Identifier (NPI) is 1700775178, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessica Clark's specialty?
- Jessica Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jessica Clark located?
- Jessica Clark's practice location on file with NPPES is 3501 W Kenosha St, Broken Arrow, OK 74012-8948.
- What is Jessica Clark's phone number?
- The practice phone number listed in the NPPES registry for Jessica Clark is (918) 994-2764.
- Is Jessica Clark's NPI active?
- Yes — Jessica Clark's NPI (1700775178) is active in the NPPES registry as of the last update on 2025-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.