NICOLE JANINE CLARK MS STUDENTS WITH DIS
NPI 1598165144
Behavior Analyst in Wantagh, NY

Q: What is Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1598165144. It was assigned to this individual provider in the NPPES registry on September 2, 2014. The provider is also known as Nicole Tizzano.

Q: What is Nicole Clark'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 Nicole Clark was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 September 02, 2014

1787 VILLAGE LN N, WANTAGH, NY 11793(516) 809-6866 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Nicole Janine Clark Ms Students With Dis NPPES

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

NICOLE JANINE CLARK MS STUDENTS WITH DIS (NPI 1598165144) is an individual behavior analyst provider in Wantagh, New York, licensed in New York (1106362) and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1598165144

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameNICOLE JANINE CLARKCredential: MS STUDENTS WITH DIS

Location Address1787 VILLAGE LN NWantagh, NY 11793-3228

Mailing Address1787 Village Ln NWantagh, NY 11793-3228

Phone(516) 809-6866

Sole ProprietorYes

Enumeration DateSeptember 2, 2014

✔ NPI 1598165144 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 NY · 1106362

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.

1787 VILLAGE LN N, Wantagh, NY 11793

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Other Names 1

Former Name (1)Nicole Tizzano

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 Nicole Clark's NPI number?

The NPI number for Nicole Clark is 1598165144. It was assigned to this individual provider in the NPPES registry on September 2, 2014. The provider is also known as Nicole Tizzano.

Where is Nicole Clark located?

Nicole Clark practices at 1787 Village Ln N, Wantagh, NY 11793. The listed phone number is (516) 809-6866.

What is Nicole 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 Nicole Clark was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.