Individual provider · Type 1 NPI

Micheyla Nicole Clark, BCBA, COBA

Behavior Analyst · Dublin, OH

NPI number 1790678449 Active

Practice location

5700 Blazer Pkwy
Dublin, OH 43017-3665

Mailing address

5600 Chesterview Dr
Galloway, OH 43119-8988

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000X1-25-78965 (OH)

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 1790678449

Micheyla Nicole Clark, BCBA, COBA's National Provider Identifier is 1790678449, issued on Jun 2, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Dublin, OH. The record was last updated on Jun 2, 2025.