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

Kelly Ann Clark, BCBA

Individual provider Behavior Analyst · NPI 1013497304

Kelly Ann Clark, BCBA is a Behavior Analyst in Waterford, Michigan. Practices as a sole proprietor and works from 2 locations. Licensed in Michigan and North Carolina.

Licensed in
MI, NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2231 Ellery Ave
Waterford, MI 48327-1107
Phone: (248) 231-3861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 606 E Davis St, Burlington, NC 27215-5922 — (336) 513-8550

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 7401002511 (MI)
Behavior Analyst Taxonomy 103K00000X · Licence 3235 (NC)

Record details

NPI number1013497304
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorYes
NPI enumeratedAugust 16, 2018
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address2231 Ellery Ave, Waterford, MI 48327-1107

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