Kelly Ann Clark, BCBA

NPI #1013497304 in Waterford, Michigan

Provider Information

NPI Number: 1013497304
Entity Type: Individual
Name: Kelly Ann Clark, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Aug 16, 2018
Last Updated: Aug 20, 2025

Practice Location

Address: 2231 ELLERY AVE
City: Waterford
State: Michigan
ZIP Code: 48327-1107
Phone: (248) 231-3861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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