Kira Melissa Clark, MS, BCBA

NPI #1649858796 in Fort Wayne, Indiana

Provider Information

NPI Number: 1649858796
Entity Type: Individual
Name: Kira Melissa Clark, MS, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: MS, BCBA
Enumeration Date: Mar 31, 2021
Last Updated: Jul 7, 2023

Practice Location

Address: 4422 E STATE BLVD
City: Fort Wayne
State: Indiana
ZIP Code: 46815-6917
Phone: (260) 471-9263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary
Behavior Technician	106S00000X

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