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MR. TRACY CLARK JR.
NPI 1104387687
Behavior Analyst in Los Angeles, CA

Active since March 27, 2019
6310 SAN VICENTE BLVD STE 300, LOS ANGELES, CA 90048(323) 693-1600 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Tracy Clark Jr. NPPES

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

MR. TRACY CLARK JR. (NPI 1104387687) is an individual behavior analyst provider in Los Angeles, California, licensed in California (1-24-72860) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1104387687
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameMR. TRACY CLARK JR.
Location Address6310 SAN VICENTE BLVD STE 300Los Angeles, CA 90048-5447
Mailing Address6310 San Vicente Blvd Ste 300Los Angeles, CA 90048-5447
Phone(323) 693-1600
Sole ProprietorYes
Enumeration DateMarch 27, 2019
Last NPPES UpdateJune 5, 2024
NPPES CertifiedJune 5, 2024
✔ NPI 1104387687 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 CA · 1-24-72860
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.

6310 SAN VICENTE BLVD STE 300, Los Angeles, CA 90048
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

ABA BEHAVIORALSERVICES LLC
Behavior Analyst
6310 SAN VICENTE BLVD STE 300
LOS ANGELES, CA 90048
Los Angeles County (323) 693-1600

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 Tracy Clark's NPI number?

The NPI number for Tracy Clark is 1104387687. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Tracy Clark located?

Tracy Clark practices at 6310 San Vicente Blvd Ste 300, Los Angeles, CA 90048. The listed phone number is (323) 693-1600.

What is Tracy Clark's specialty?

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

What insurance does Tracy Clark accept?

Health plans from Providence Health Plan list Tracy 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 Tracy Clark was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.