Individual provider · Type 1 NPI

Kristen Ann Clark, BCBA

Behavior Analyst · Fort Myers, FL

NPI number 1063749679 Active

Practice location

12438 Brantley Commons Ct
Fort Myers, FL 33907-5683

Call (239) 850-3679 Map

Mailing address

11200 Callaway Greens Dr
Fort Myers, FL 33913-8139

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-20-41435 (FL)

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 1063749679

Kristen Ann Clark, BCBA's National Provider Identifier is 1063749679, issued on Nov 3, 2009. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Fort Myers, FL. The record was last updated on May 6, 2025.