NATHAN EDWARD CLARK M.ED., BCBA
NPI 1881172195
Behavior Analyst in Lincolnwood, IL

Q: What is Nathan Clark's NPI number?

The NPI number for Nathan Clark is 1881172195. It was assigned to this individual provider in the NPPES registry on July 30, 2018.

Q: What is Nathan 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 Nathan Clark was last updated on August 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 July 30, 2018

4433 W TOUHY AVE STE 335, LINCOLNWOOD, IL 60712(765) 635-3349 Get Directions Write a Review

NPPES record last updated: August 5, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2020, Jul 30, 2018 (2 updates tracked since 2018).

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About Nathan Edward Clark M.ed., Bcba NPPES

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

NATHAN EDWARD CLARK M.ED., BCBA (NPI 1881172195) is an individual behavior analyst provider in Lincolnwood, Illinois, licensed in Illinois (1-20-43731) and active in the NPI registry since July 2018. He maintains a secondary practice location in Des Plaines.

NPPES Registry Identity

NPI1881172195

Entity TypeIndividualMale

Primary Taxonomy103K00000X

Provider Legal NameNATHAN EDWARD CLARKCredential: M.ED., BCBA

Location Address4433 W TOUHY AVE STE 335Lincolnwood, IL 60712-1820

Mailing Address950 Lee St Ste 210Des Plaines, IL 60016-6574 · (877) 486-4140 · Fax (847) 486-4145

Phone(765) 635-3349

Sole ProprietorNo

Enumeration DateJuly 30, 2018

Last NPPES UpdateAugust 5, 20202 updates tracked since enumeration

NPPES CertifiedAugust 5, 2020

✔ NPI 1881172195 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 IL · 1-20-43731

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.

4433 W TOUHY AVE STE 335, Lincolnwood, IL 60712

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Secondary Practice Location 1

Location 1950 Lee St Ste 210Des Plaines, IL 60016-6574 · Phone (877) 486-4140 · Fax (847) 486-4145

Other Identifiers 1

Other1-20-43731IL · Behavior Analyst Certification Board

Accepted Insurance

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

Other Providers at the Same Location NPPES 12

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

NICOLE NESSLAR

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