MARY ELIZABETH CLARK
NPI 1710853296
Behavior Analyst in Jefferson City, MO

Active since October 13, 2025
2707 W EDGEWOOD DR STE 104, JEFFERSON CITY, MO 65109(573) 260-1665 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mary Elizabeth Clark NPPES

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

MARY ELIZABETH CLARK (NPI 1710853296) is an individual behavior analyst provider in Jefferson City, Missouri, licensed in Missouri (2025030237) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1710853296
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMARY ELIZABETH CLARK
Location Address2707 W EDGEWOOD DR STE 104Jefferson City, MO 65109-5886
Mailing Address2707 W Edgewood Dr Ste 104Jefferson City, MO 65109-5886
Sole ProprietorNo
Enumeration DateOctober 13, 2025
NPPES CertifiedOctober 13, 2025
NPI 1710853296 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 MO · 2025030237
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.

2707 W EDGEWOOD DR STE 104, Jefferson City, MO 65109

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2707 W EDGEWOOD DR STE 104
JEFFERSON CITY, MO 65109
Chiropractor
2707 W EDGEWOOD DR STE 104
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
2707 W EDGEWOOD DR STE 104
JEFFERSON CITY, MO 65109
Family Medicine
2707 W EDGEWOOD DR STE 104
JEFFERSON CITY, MO 65109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710853296, enumerated as an "individual" on October 13, 2025.

The provider is located at 2707 W EDGEWOOD DR STE 104 JEFFERSON CITY, MO 65109 and the phone number is (573) 260-1665.

Behavior Analyst with taxonomy code 103K00000X.