CLYDE DAVID BOMGARDNER JR. MA, MDIV
NPI 1487888467
Behavior Analyst in Harrisburg, PA

Q: What is Clyde Bomgardner's NPI number?

The NPI number for Clyde Bomgardner is 1487888467. It was assigned to this individual provider in the NPPES registry on May 6, 2009.

Q: What is Clyde Bomgardner'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 Clyde Bomgardner was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 May 06, 2009

200 S. PROGRESS AVENUE, HARRISBURG, PA 17109(717) 526-4889(717) 671-9149 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Clyde David Bomgardner Jr. Ma, Mdiv NPPES

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

CLYDE DAVID BOMGARDNER JR. MA, MDIV (NPI 1487888467) is an individual behavior analyst provider in Harrisburg, Pennsylvania and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1487888467

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameCLYDE DAVID BOMGARDNER JR.Credential: MA, MDIV

Location Address200 S. PROGRESS AVENUEHarrisburg, PA 17109-4638

Mailing Address200 N 7th StreetLebanon, PA 17046-5040 · (717) 273-1710 · Fax (717) 273-1416

Phone(717) 526-4889

Fax(717) 671-9149

Sole ProprietorNo

Enumeration DateMay 6, 2009

✔ NPI 1487888467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

200 S. PROGRESS AVENUE, Harrisburg, PA 17109

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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.

MRS. VANESSA ANN HAYDT B.S.

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