Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ANN CLARK, BCBA
Active Sole ProprietorKELLY ANN CLARK, BCBA is a Behavior Analyst healthcare provider located in WATERFORD, Michigan. NPI 1013497304 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · WATERFORD, MI
Registration Details
- NPI Number
- 1013497304
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 16, 2018 (7.9692099451594 yrs)
- Last Updated
- Aug 20, 2025
- Licenses
-
3235 (NC)7401002511 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2231 ELLERY AVEWATERFORD, MI, 483271107Browse MI providers · Browse ZIP 48327
- Phone
- 2482313861
- Primary Specialty
-
Behavior Analyst
103K00000X
- Additional Specialty
- Behavior Analyst
Other Behavior Analyst Providers in WATERFORD, MI
| Name | Credential | NPI |
|---|---|---|
| KRISTEN HJELMSTAD | LMSW, BCBA | 1538412689 |
| JAMES DEWEY | LBA | 1790195857 |
| MRS. TAMMI MCCOY | — | 1689071847 |
| JAMIE HARRIS | BCBA | 1396120028 |
| DAPHNE JONES | — | 1336694272 |
| DRUE ARYN JOSEPH | — | 1346768629 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.