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

Individual provider Behavior Analyst · NPI 1750932349

Desiree Imani Clark is a Behavior Analyst in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

3186 Airway Ave Ste A
Costa Mesa, CA 92626-4650
Phone: (714) 881-0427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X (CA)

Record details

NPI number1750932349
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2019
Last updated in NPPESSeptember 25, 2019
Mailing address222 Old Oak Dr, San Diego, CA 92114-6027

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