Individual provider · Type 1 NPI

Kelly Ann Clark, BCBA

Behavior Analyst · Waterford, MI

NPI number 1013497304 Active

Practice location

2231 Ellery Ave
Waterford, MI 48327-1107

Call (248) 231-3861 Map

Other practice locations

  • 606 E Davis St, Burlington, NC 27215-5922 · (336) 513-8550

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X3235 (NC)
Behavior Analyst Primary 103K00000X7401002511 (MI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1013497304

Kelly Ann Clark, BCBA's National Provider Identifier is 1013497304, issued on Aug 16, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Waterford, MI. The record was last updated on Aug 20, 2025.