Keyiarra Clark

Behavior Technician · Valdosta, GA

Individual Active NPI

NPI number 1053233254

Practice location

3338 Country Club Rd Ste L1-142
Valdosta, GA 31605-1044
Phone
(855) 832-6727

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NPI record

NPI
1053233254
Entity type
Individual (Type 1)
Enumeration date
July 28, 2026
Last updated
July 28, 2026
Certified
July 28, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

About Keyiarra Clark

Keyiarra Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3338 Country Club Rd Ste L1-142, Valdosta, GA 31605-1044. The NPI number 1053233254 was assigned on July 28, 2026 and the record was last updated on July 28, 2026.

Frequently asked questions

What is the NPI number of Keyiarra Clark?

The NPI number is 1053233254.

What is the phone number of Keyiarra Clark?

The phone number listed for the practice location is (855) 832-6727.

Where is Keyiarra Clark located?

3338 Country Club Rd Ste L1-142, Valdosta, GA 31605-1044.

What is the taxonomy code for Keyiarra Clark?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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