CRYSTAL CLARK
NPI 1801259619
Behavior Analyst in Hartland, MI

Q: What is Crystal Clark's NPI number?

The NPI number for Crystal Clark is 1801259619. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Crystal 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 Crystal Clark was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 30, 2016

12319 HIGHLAND RD STE 501, HARTLAND, MI 48353(810) 991-1211 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2023, Jan 19, 2020, Oct 16, 2019 and 3 more (6 updates tracked since 2016).

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About Crystal Clark NPPES

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

CRYSTAL CLARK (NPI 1801259619) is an individual behavior analyst provider in Hartland, Michigan and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1801259619

Entity TypeIndividualFemale

Primary Taxonomy103K00000X

Provider Legal NameCRYSTAL CLARK

Location Address12319 HIGHLAND RD STE 501Hartland, MI 48353-2946

Mailing Address12319 Highland Rd Ste 501Hartland, MI 48353-2946 · (810) 991-1211

Phone(810) 991-1211

Sole ProprietorNo

Enumeration DateMarch 30, 2016

Last NPPES UpdateNovember 1, 20236 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1801259619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedTechnician, OtherTaxonomy 247200000X

12319 HIGHLAND RD STE 501, Hartland, MI 48353

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health, Providence Health Plan.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.

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