KRISTEN ANN CLARK BCBA
NPI 1063749679
Behavior Analyst in Fort Myers, FL

Active since November 03, 2009
12438 BRANTLEY COMMONS CT, FORT MYERS, FL 33907(239) 850-3679 Get Directions Write a Review

NPPES record last updated: May 6, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2025, Mar 25, 2020, Oct 27, 2017 (3 updates tracked since 2017).

About Kristen Ann Clark Bcba NPPES

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

KRISTEN ANN CLARK BCBA (NPI 1063749679) is an individual behavior analyst provider in Fort Myers, Florida, licensed in Florida (1-20-41435) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1063749679
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKRISTEN ANN CLARKCredential: BCBA
Location Address12438 BRANTLEY COMMONS CTFort Myers, FL 33907-5683
Mailing Address11200 Callaway Greens DrFort Myers, FL 33913-8139 · (239) 850-3679
Sole ProprietorNo
Enumeration DateNovember 3, 2009
Last NPPES UpdateMay 6, 20253 updates tracked since enumeration
NPPES CertifiedMay 6, 2025
NPI 1063749679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in FL · 1-20-41435
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.

12438 BRANTLEY COMMONS CT, Fort Myers, FL 33907

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907
Behavior Technician
12438 BRANTLEY COMMONS CT
FORT MYERS, FL 33907

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 Kristen Clark's NPI number?

The NPI number for Kristen Clark is 1063749679. It was assigned to this individual provider in the NPPES registry on November 3, 2009.

Where is Kristen Clark located?

Kristen Clark practices at 12438 Brantley Commons Ct, Fort Myers, FL 33907. The listed phone number is (239) 850-3679.

What is Kristen Clark's specialty?

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

What insurance does Kristen Clark accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and Wellpoint list Kristen 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 Kristen Clark was last updated on May 6, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.