Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1568188373 Individual Practitioner Female Practitioner

Mariann Eleanor Clark

Behavior Technician • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Mariann Clark is a registered healthcare professional specializing in Behavior Technician in St Augustine, FL. Practice services are available at 180 CENTER PLACE WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

180 Center Place Way

St Augustine, FL 320958859

Telephone 9044296979

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
172 Specialists

Practicing in St Augustine, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-10-13
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL RBT-22-238474

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Behavior Technician
RBT-22-238474 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Lauren Roberts

Behavior Technician

NPI 1114758364
Melissa Thomas

Behavior Technician

NPI 1265239503
Mitchell Miller

Behavior Technician

NPI 1326734120
Alexis Rodriguez

Behavior Technician

NPI 1356172514
Brianna Johnson

Behavior Technician

NPI 1366375164
Renzo Diaz

Behavior Technician

NPI 1386482289

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2022

Registered at 180 CENTER PLACE WAY, ST AUGUSTINE, FL 320958859 (Tel: 9044296979)

📍
Updated Business Mailing Address October 13, 2022

Registered at 1945 INDIES DR E, JACKSONVILLE, FL 322462404 (Tel: 9808337999)

👤
Provider Name / Credentials Updated October 13, 2022

Recorded as MARIANN CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Behavior Technician (License #RBT-22-238474 in FL)

🟢
Initial NPI Registration & Enumeration October 13, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1568188373
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2022
Last Update: October 13, 2022
Sole Proprietor: No

Mailing Address

1945 Indies Dr E

Jacksonville, FL 322462404

Phone: 9808337999

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.