Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinae Watson

Individual provider Behavior Technician · NPI 1235647173

Clinae Watson is a Clinical Psychologist in Los Angeles, California. Qualified in 2024, 2 years ago. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2018
Specialties on file
3

Practice location Address checks out

4401 Crenshaw Blvd
Los Angeles, CA 90043-1227
Phone: (323) 290-8360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 94026403 (CA)
Behavior Technician Taxonomy 106S00000X
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1235647173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 12, 2018
Last updated in NPPESFebruary 7, 2022
Certification dateFebruary 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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