IndividualActive
Larisse Clark
NPI 1912596040 · Behavior Technician · Spring Lake, NC
Larisse Clark is a Behavior Technician provider in Spring Lake, NC (NPI 1912596040).
Provider details
- NPI number
- 1912596040
- 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
1018 N Bragg Blvd
Spring Lake, NC 28390-3316
Phone: (910) 295-2609
Fax: (800) 948-6061
Street-level locationGet directions
Mailing address
3522 Grenedine Dr
Fayetteville, NC 28306-5610
Registry dates
- Enumerated
- 2021-01-13
- Last updated
- 2021-01-13
- Certified
- 2021-01-13
Frequently asked questions
- What is Larisse Clark's NPI number?
- Larisse Clark's National Provider Identifier (NPI) is 1912596040, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larisse Clark's specialty?
- Larisse Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Larisse Clark located?
- Larisse Clark's practice location on file with NPPES is 1018 N Bragg Blvd, Spring Lake, NC 28390-3316.
- What is Larisse Clark's phone number?
- The practice phone number listed in the NPPES registry for Larisse Clark is (910) 295-2609.
- Is Larisse Clark's NPI active?
- Yes — Larisse Clark's NPI (1912596040) is active in the NPPES registry as of the last update on 2021-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.