KIRA MELISSA CLARK MS, BCBA
NPI 1649858796
Behavior Analyst in Fort Wayne, IN

Q: What is Kira Clark's NPI number?

The NPI number for Kira Clark is 1649858796. It was assigned to this individual provider in the NPPES registry on March 31, 2021. The provider is also known as Kira Witte.

Q: What is Kira 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 Kira Clark was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 March 31, 2021

4422 E STATE BLVD, FORT WAYNE, IN 46815(260) 471-9263(317) 520-8200 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, Apr 28, 2022, Mar 31, 2021 (3 updates tracked since 2021).

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About Kira Melissa Clark Ms, Bcba NPPES

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

KIRA MELISSA CLARK MS, BCBA (NPI 1649858796) is an individual behavior analyst provider in Fort Wayne, Indiana, licensed in Indiana (1-22-58909) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1649858796

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameKIRA MELISSA CLARKCredential: MS, BCBA

Location Address4422 E STATE BLVDFort Wayne, IN 46815-6917

Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200

Phone(260) 471-9263

Fax(317) 520-8200

Sole ProprietorNo

Enumeration DateMarch 31, 2021

Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration

NPPES CertifiedJuly 7, 2023

✔ NPI 1649858796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code103K00000X

License✔ Licensed in IN · 1-22-58909

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 ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-16-25450 (IN)

4422 E STATE BLVD, Fort Wayne, IN 46815

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Other Names 1

Former Name (1)Kira Witte

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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.

AUSTIN WILLIAMS RBT

Behavior Technician