KELLI CLARK RBT
NPI 1023669363
Behavior Analyst in Round Rock, TX

Q: What is Kelli Clark's NPI number?

The NPI number for Kelli Clark is 1023669363. It was assigned to this individual provider in the NPPES registry on September 27, 2019.

Q: What is Kelli Clark's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelli Clark was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since September 27, 2019

1250 S AW GRIMES BLVD, ROUND ROCK, TX 78664(512) 401-3612(512) 717-5553 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Sep 27, 2019 (2 updates tracked since 2019).

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About Kelli Clark Rbt NPPES

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

KELLI CLARK RBT (NPI 1023669363) is an individual behavior analyst provider in Round Rock, Texas, licensed in Texas (4649) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1023669363

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKELLI CLARKCredential: RBT

Location Address1250 S AW GRIMES BLVDRound Rock, TX 78664-7429

Mailing Address1250 S Aw Grimes BlvdRound Rock, TX 78664-7429 · (512) 401-3612 · Fax (512) 717-5553

Phone(512) 401-3612

Fax(512) 717-5553

Sole ProprietorNo

Enumeration DateSeptember 27, 2019

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1023669363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in TX · 4649

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.

Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-19-82868 (TX)

1250 S AW GRIMES BLVD, Round Rock, TX 78664

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc., Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CIERRA CORDOVA RBT

Behavior Technician