NPI 1023669363

Kelli Clark, RBT

Practitioner Behavior Analyst Round Rock, TX

Practice location

Address: 1250 S Aw Grimes Blvd, Round Rock, TX 78664-7429
Phone: (512) 401-3612
Fax: (512) 717-5553

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 4649 (TX)

Other Behavior Analyst providers in Texas →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-19-82868 (TX)

Other Behavior Technician providers in Texas →

Registry record

NPI: 1023669363
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2019
Record last updated: 17 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.