1. Home
  2. Directory
  3. Michigan
  4. Waterford
  5. Behavior Analyst
  6. NPI Profile

KELLY ANN CLARK BCBA
NPI 1013497304
Behavior Analyst in Waterford, MI

Active since August 16, 2018
2231 ELLERY AVE, WATERFORD, MI 48327(248) 231-3861 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 19, 2024, Aug 16, 2018 (2 updates tracked since 2018).

About Kelly Ann Clark Bcba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN CLARK BCBA (NPI 1013497304) is an individual behavior analyst provider in Waterford, Michigan, licensed in Michigan (7401002511) and active in the NPI registry since August 2018. She maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1013497304
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKELLY ANN CLARKCredential: BCBA
Location Address2231 ELLERY AVEWaterford, MI 48327-1107
Mailing Address2231 Ellery AveWaterford, MI 48327-1107 · (248) 231-3861
Phone(248) 231-3861
Sole ProprietorYes
Enumeration DateAugust 16, 2018
Last NPPES UpdateAugust 20, 20252 updates tracked since enumeration
NPPES CertifiedAugust 20, 2025
✔ NPI 1013497304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Licenses✔ Licensed in MI · 7401002511✔ Licensed in NC · 3235
Definition
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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
2231 ELLERY AVE, Waterford, MI 48327
Open in Google Maps ↗

Secondary Practice Location 1

Location 1606 E Davis StBurlington, NC 27215-5922 · Phone (336) 513-8550 · Fax (743) 205-3533

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Clark's NPI number?

The NPI number for Kelly Clark is 1013497304. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Where is Kelly Clark located?

Kelly Clark practices at 2231 Ellery Ave, Waterford, MI 48327. The listed phone number is (248) 231-3861.

What is Kelly Clark's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Kelly Clark accept?

Health plans from Oscar Insurance Company list Kelly Clark as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Clark was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.