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

Mason Samuel Clark

Individual provider Assistant Behavior Analyst · NPI 1215771878

Mason Samuel Clark is an Assistant Behavior Analyst in Tallahassee, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

751 Rhoden Cove Rd
Tallahassee, FL 32312-1013
Phone: (850) 815-8800
Show map & directions

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

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X · Licence BACB1128648 (FL)

Record details

NPI number1215771878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address8581 Pine Ave, Macclenny, FL 32063-5011

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