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HEATHER CLARK
NPI 1215688205
Behavior Analyst in Pooler, GA

Active since January 12, 2022
105 GRAND CENTRAL BLVD STE 101, POOLER, GA 31322(912) 244-3305 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2025, Jan 12, 2022 (2 updates tracked since 2022).

About Heather Clark NPPES

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

HEATHER CLARK (NPI 1215688205) is an individual behavior analyst provider in Pooler, Georgia and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1215688205
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameHEATHER CLARK
Location Address105 GRAND CENTRAL BLVD STE 101Pooler, GA 31322-4146
Mailing Address300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone(912) 244-3305
Sole ProprietorNo
Enumeration DateJanuary 12, 2022
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1215688205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
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 ListedAssistant Behavior AnalystTaxonomy 106E00000X
105 GRAND CENTRAL BLVD STE 101, Pooler, GA 31322
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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.

AKEELIA WILLIAMS
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 244-3305
AMONYAH TI'KAYLA JONES
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 244-3305
NICOLE TILLMANN
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 244-3305
BAILEE BARNARD
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 244-3305
FAITH UPSHAW
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 224-3305
KIERSTEN CAMPBELL
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 244-3305
LAUREN IZETTA DEWITT
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 244-3305
ALEXA BINGER
Behavior Technician
105 GRAND CENTRAL BLVD STE 101
POOLER, GA 31322
Chatham County (912) 388-1035

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 Heather Clark's NPI number?

The NPI number for Heather Clark is 1215688205. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Heather Clark located?

Heather Clark practices at 105 Grand Central Blvd Ste 101, Pooler, GA 31322. The listed phone number is (912) 244-3305.

What is Heather Clark's specialty?

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

When was this NPI record last updated?

The NPPES record for Heather Clark was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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.