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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KRYSTLE DIANE CLARK BCBA
NPI 1255948527
Behavior Analyst in Columbus, GA

Active since September 30, 2020
200 BROOKSTONE CENTRE PKWY BLDG 200, COLUMBUS, GA 31904(762) 239-0017(317) 520-8200 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, Sep 30, 2020 (2 updates tracked since 2020).

About Krystle Diane Clark Bcba NPPES

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

KRYSTLE DIANE CLARK BCBA (NPI 1255948527) is an individual behavior analyst provider in Columbus, Georgia, licensed in Georgia (LBA000899) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1255948527
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameKRYSTLE DIANE CLARKCredential: BCBA
Location Address200 BROOKSTONE CENTRE PKWY BLDG 200Columbus, GA 31904-4559
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(762) 239-0017
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateSeptember 30, 2020
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1255948527 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 GA · LBA000899✔ Licensed in AL · 2025-062
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.
200 BROOKSTONE CENTRE PKWY BLDG 200, Columbus, GA 31904
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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.

ABBY GAIL ROUGHTON RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017
JAMAAL SANDERS RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017
BREONNAH THOMAS RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017
SHANETREA ANDERSON RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017
NIKOLAS JONES RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017
ERLISHA SMITH RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017
SHAKEJA KAZIA GAFFNEY
Behavior Analyst
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 390-0017
ASHLEY MATHEWS RBT
Behavior Technician
200 BROOKSTONE CENTRE PKWY BLDG 200
COLUMBUS, GA 31904
Muscogee County (762) 239-0017

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 Krystle Clark's NPI number?

The NPI number for Krystle Clark is 1255948527. It was assigned to this individual provider in the NPPES registry on September 30, 2020.

Where is Krystle Clark located?

Krystle Clark practices at 200 Brookstone Centre Pkwy Bldg 200, Columbus, GA 31904. The listed phone number is (762) 239-0017.

What is Krystle 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 Krystle Clark was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.