IndividualActive
Kourtney Clark
NPI 1912655911 · Behavior Technician · Corona, CA
Kourtney Clark is a Behavior Technician provider in Corona, CA (NPI 1912655911).
Provider details
- NPI number
- 1912655911
- 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(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1295 Corona Pointe Ct Ste 102
Corona, CA 92879-1721
Phone: (855) 223-7123
Fax: (619) 374-7134
Street-level locationGet directions
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Registry dates
- Enumerated
- 2022-03-17
- Last updated
- 2022-03-17
- Certified
- 2022-03-17
Frequently asked questions
- What is Kourtney Clark's NPI number?
- Kourtney Clark's National Provider Identifier (NPI) is 1912655911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kourtney Clark's specialty?
- Kourtney Clark is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kourtney Clark located?
- Kourtney Clark's practice location on file with NPPES is 1295 Corona Pointe Ct Ste 102, Corona, CA 92879-1721.
- What is Kourtney Clark's phone number?
- The practice phone number listed in the NPPES registry for Kourtney Clark is (855) 223-7123.
- Is Kourtney Clark's NPI active?
- Yes — Kourtney Clark's NPI (1912655911) is active in the NPPES registry as of the last update on 2022-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.