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NICHOLE CLARK BCBA
NPI 1962923995
Behavior Analyst in Clive, IA

Active since June 29, 2017
13300 HICKMAN RD STE 110, CLIVE, IA 50325(515) 987-8835 Get Directions Write a Review

NPPES record last updated: July 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2017, Jun 29, 2017 (2 updates tracked since 2017).

About Nichole Clark Bcba NPPES

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

NICHOLE CLARK BCBA (NPI 1962923995) is an individual behavior analyst provider in Clive, Iowa and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1962923995
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameNICHOLE CLARKCredential: BCBA
Location Address13300 HICKMAN RD STE 110Clive, IA 50325-8616
Mailing Address3418 Kingman Blvd Apt 2Des Moines, IA 50311-3718
Phone(515) 987-8835
Sole ProprietorNo
Enumeration DateJune 29, 2017
Last NPPES UpdateJuly 31, 20172 updates tracked since enumeration
✔ NPI 1962923995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
13300 HICKMAN RD STE 110, Clive, IA 50325
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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.

DOUGLAS PEPPER
Behavior Technician
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
MADDISON ANNE RANNEY
Occupational Therapist
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
MADELYN CANFIELD OTD, OTR/L
Occupational Therapist
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
AMANDA OLSON BCBA
Behavior Analyst
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
MIKAYLA WHITMER
Behavior Analyst
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
GABRIELLA MARTINEZ
Behavior Technician
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
HANNAH ALBERTS
Behavior Technician
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835
TAYLOR RAE CRANE OTD, OTR/L
Occupational Therapist
13300 HICKMAN RD STE 110
CLIVE, IA 50325
Polk County (515) 987-8835

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 Nichole Clark's NPI number?

The NPI number for Nichole Clark is 1962923995. It was assigned to this individual provider in the NPPES registry on June 29, 2017.

Where is Nichole Clark located?

Nichole Clark practices at 13300 Hickman Rd Ste 110, Clive, IA 50325. The listed phone number is (515) 987-8835.

What is Nichole Clark's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Nichole Clark was last updated on July 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.