What is Keisa Clark's NPI number?

Keisa Clark's National Provider Identifier (NPI) is 1750921417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Keisa Clark's specialty?

Keisa Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Keisa Clark located?

Keisa Clark's practice location on file with NPPES is 3119 Bradford Ct, Milford, MI 48380-2034.

What is Keisa Clark's phone number?

The practice phone number listed in the NPPES registry for Keisa Clark is (313) 647-1201.

Is Keisa Clark's NPI active?

Yes — Keisa Clark's NPI (1750921417) is active in the NPPES registry as of the last update on 2020-01-10.

IndividualActive

Keisa Clark

NPI 1750921417 · Behavior Technician · Milford, MI

Keisa Clark is a Behavior Technician provider in Milford, MI (NPI 1750921417).

Provider details

NPI number: 1750921417
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(58/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
6 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

3119 Bradford Ct

Milford, MI 48380-2034

Phone: (313) 647-1201

Street-level locationGet directions

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Mailing address