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

Mr. Tracy Clark Jr.

Individual provider Behavior Analyst · NPI 1104387687

Mr. Tracy Clark Jr. is a Behavior Analyst in Los Angeles, 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

6310 San Vicente Blvd Ste 300
Los Angeles, CA 90048-5447
Phone: (323) 693-1600
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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 1-24-72860 (CA)

Record details

NPI number1104387687
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2019
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024

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