IndividualActive
Kristen Clark, BCBA
NPI 1063749679 · Behavior Analyst · Fort Myers, FL
Kristen Clark, BCBA is a Behavior Analyst provider in Fort Myers, FL (NPI 1063749679).
Provider details
- NPI number
- 1063749679
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- License
- 1-20-41435 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12438 Brantley Commons Ct
Fort Myers, FL 33907-5683
Phone: (239) 850-3679
Street-level locationGet directions
Mailing address
11200 Callaway Greens Dr
Fort Myers, FL 33913-8139
Registry dates
- Enumerated
- 2009-11-03
- Last updated
- 2025-05-06
- Certified
- 2025-05-06
Frequently asked questions
- What is Kristen Clark's NPI number?
- Kristen Clark's National Provider Identifier (NPI) is 1063749679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristen Clark's specialty?
- Kristen Clark is listed in the NPPES registry with a primary specialty of Behavior Analyst (Behavioral Health & Social Service Providers).
- Where is Kristen Clark located?
- Kristen Clark's practice location on file with NPPES is 12438 Brantley Commons Ct, Fort Myers, FL 33907-5683.
- What is Kristen Clark's phone number?
- The practice phone number listed in the NPPES registry for Kristen Clark is (239) 850-3679.
- Is Kristen Clark's NPI active?
- Yes — Kristen Clark's NPI (1063749679) is active in the NPPES registry as of the last update on 2025-05-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.