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

Individual provider Behavior Analyst · NPI 1063749679

Kristen Ann Clark, BCBA is a Behavior Analyst in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

12438 Brantley Commons Ct
Fort Myers, FL 33907-5683
Phone: (239) 850-3679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-20-41435 (FL)

Record details

NPI number1063749679
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedNovember 3, 2009
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025

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