Individual provider · Type 1 NPI

Mary Elizabeth Clark

Behavior Analyst · Jefferson City, MO

NPI number 1710853296 Active

Practice location

2707 W Edgewood Dr Ste 104
Jefferson City, MO 65109-5886

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X2025030237 (MO)

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 1710853296

Mary Elizabeth Clark's National Provider Identifier is 1710853296, issued on Oct 13, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Jefferson City, MO. The record was last updated on Oct 13, 2025.