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IndividualActive

Antwan Clark

Behavior Technician

NPI: 1053180398Winder, Georgia, 30680(770) 800-0891Male

About Antwan Clark

Antwan Clark is a male healthcare professional specializing in Behavior Technician, registered under National Provider Identifier (NPI) number 1053180398. Their primary practice is located at 407 TORI DR STE 2, Winder, Georgia 30680.

Patients can reach the office at (770) 800-0891. Antwan Clark has been NPI-registered since 2023.

Doctor Details

Identity & Credentials

NPI Number
1053180398
Entity Type
Individual
First Name
Antwan
Last Name
Clark
Gender
Male
Sole Proprietor
No
Status
active

Primary Practice Location

Address
407 TORI DR STE 2
City
Winder
State
Georgia
ZIP
30680-5209
Country
United States
Phone
(770) 800-0891

Specialty & Taxonomy

Primary Specialty
Behavior Technician
Classification
Behavior Technician
Taxonomy Code
106S00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
407 TORI DR STE 2
City
WINDER
State
GA
ZIP
306805209

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Antwan Clark's NPI number?
Antwan Clark's National Provider Identifier (NPI) is 1053180398. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Antwan Clark specialize in?
Antwan Clark specializes in Behavior Technician.
Where is Antwan Clark located?
Antwan Clark practices at 407 TORI DR STE 2, Winder, Georgia 30680. You can reach them by phone at (770) 800-0891.
Does Antwan Clark accept Medicare?
Based on available data, Antwan Clark is not currently enrolled in the Medicare program.
Does Antwan Clark offer telehealth or virtual visits?
Antwan Clark does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Antwan Clark is 1053180398.