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BRANDON C CLARK
NPI 1871872416
Counselor in Deerfield Beach, FL

Active since August 14, 2011
500 FAIRWAY DR, DEERFIELD BEACH, FL 33441(954) 603-7885 Get Directions Write a Review

NPPES record last updated: January 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon C Clark NPPES

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

BRANDON C CLARK (NPI 1871872416) is an individual counselor in Deerfield Beach, Florida, licensed in Florida (103K00000X) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1871872416
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBRANDON C CLARK
Location Address500 FAIRWAY DRDeerfield Beach, FL 33441-1814
Mailing Address6 Roseberry CirPort Wentworth, GA 31407-5612 · (850) 567-5657
Phone(954) 603-7885
Sole ProprietorNo
Enumeration DateAugust 14, 2011
Last NPPES UpdateJanuary 2, 2015
✔ NPI 1871872416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in FL · 103K00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
500 FAIRWAY DR, Deerfield Beach, FL 33441
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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.

PEGGY YOUNG
Developmental Therapist
500 FAIRWAY DR, STE. 102
DEERFIELD BEACH, FL 33441
Broward County (888) 880-9270
CHRISTOPHER BRIAN SANTIAGO
Behavior Technician
500 FAIRWAY DR, STE. 102
DEERFIELD BEACH, FL 33441
Broward County (888) 880-9270
MARIA TORRES
Developmental Therapist
500 FAIRWAY DR, SUITE 102
DEERFIELD BEACH, FL 33441
Broward County (954) 603-7885
KIMBERLY HESTER
Developmental Therapist
500 FAIRWAY DR, STE. 102
DEERFIELD BEACH, FL 33441
Broward County (888) 890-9270
HEATHER GASHETTE
Behavior Analyst
500 FAIRWAY DR
DEERFIELD BEACH, FL 33441
Broward County (877) 418-2978
STACEY RUSCH
Developmental Therapist
500 FAIRWAY DR, STE 102
DEERFIELD BEACH, FL 33441
Broward County (888) 880-9270
TAYLOR BENTON
Developmental Therapist
500 FAIRWAY DR, STE. 102
DEERFIELD BEACH, FL 33441
Broward County (888) 880-9270
PATARICIA ANN HILL
Developmental Therapist
500 FAIRWAY DR, SUITE 102
DEERFIELD BCH, FL 33441
Broward County (954) 603-7885

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 Brandon Clark's NPI number?

The NPI number for Brandon Clark is 1871872416. It was assigned to this individual provider in the NPPES registry on August 14, 2011.

Where is Brandon Clark located?

Brandon Clark practices at 500 Fairway Dr, Deerfield Beach, FL 33441. The listed phone number is (954) 603-7885.

What is Brandon Clark's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Brandon Clark was last updated on January 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.