Nicholas Clark

Behavior Analyst · Johnston, IA

Individual Active NPI

NPI number 1699591735

Practice location

8835 Northpark Ct
Johnston, IA 50131-3018
Phone
(515) 207-5251

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NPI record

NPI
1699591735
Entity type
Individual (Type 1)
Enumeration date
November 22, 2024
Last updated
November 22, 2024
Certified
November 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X BA-01124 IA

Mailing address

11428 Forest Ave Apt 1321
Clive, IA 50325-7062
Phone
(319) 231-5148

About Nicholas Clark

Nicholas Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 8835 Northpark Ct, Johnston, IA 50131-3018. The NPI number 1699591735 was assigned on November 22, 2024 and the record was last updated on November 22, 2024.

Nicholas Clark lists a license in the registry: #BA-01124 (IA) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas Clark?

The NPI number is 1699591735.

What is the phone number of Nicholas Clark?

The phone number listed for the practice location is (515) 207-5251.

Where is Nicholas Clark located?

8835 Northpark Ct, Johnston, IA 50131-3018.

What is the taxonomy code for Nicholas Clark?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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