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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124685805

Racheal Clark, PHD, BCBA is a Student in an Organized Health Care Education/Training Program in Clarksville, Maryland. Licensed in Maryland. Registered with an NPI since 2019.

Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

6100 Daylong Ln Ste 103
Clarksville, MD 21029-1631
Phone: (410) 531-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 06447 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124685805
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , BCBA
Sole proprietorNo
NPI enumeratedMay 28, 2019
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021
Mailing address6100 Daylong Ln Ste 103, Clarksville, MD 21029-1631

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