NPI 1023941366

Kevin Clark

Practitioner Behavior Technician Charleston, SC

Practice location

Address: 2049 Savannah Hwy STE D, Charleston, SC 29407-2228
Phone: (843) 507-2299
Mailing address: 3 Tidway Cir, Charleston, SC 29407-3128

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in South Carolina →

Registry record

NPI: 1023941366
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2026
Record last updated: 5 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.