Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1811597537 Individual Practitioner Female Practitioner

Eugenia Clark , MA ED, BCBA

Behavior Analyst • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Eugenia Clark, MA ED, BCBA is a registered healthcare professional specializing in Behavior Analyst in San Rafael, CA. Practice services are available at 4000 CIVIC CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 Civic Center Dr

San Rafael, CA 949034171

Telephone 6288770040
Fax 6282403997
Associated Practice Facility / Clinic
🏢 Prima Medical Group, Inc. Facility NPI 1154377489

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
17 Specialists

Practicing in San Rafael, CA (20508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-24-73104

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joseph Johnson

Behavior Analyst

NPI 1013397108
Rebecca Cabrera , OTR, L

Occupational Therapist

NPI 1013479823

Occupational Therapist Registered, L

Trini Bui

Behavior Analyst

NPI 1023600889
Emma Reulbach

Behavior Analyst

NPI 1063083921
Estefany Gutierrez

Behavior Technician

NPI 1063098135
Jane Mardelette Obenieta , OTR

Occupational Therapist

NPI 1073147120

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated June 03, 2024

Recorded as EUGENIA CLARK, M.A. ED., BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2024

Behavior Analyst (License #1-24-73104 in CA)

NPI Profile Active October 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2020

Registered at 4000 CIVIC CENTER DR, SAN RAFAEL, CA 949034171 (Tel: 6288770040)

📍
Updated Business Mailing Address October 30, 2020

Registered at 4000 CIVIC CENTER DR, SAN RAFAEL, CA 949034171 (Tel: 6288770040)

👤
Provider Name / Credentials Updated October 30, 2020

Recorded as EUGENIA CLARK, M.A., EDU.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2020

Behavior Technician

🟢
Initial NPI Registration & Enumeration October 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811597537
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 30, 2020
Last Update: June 03, 2024
Sole Proprietor: No

Mailing Address

4000 Civic Center Dr

San Rafael, CA 949034171

Phone: 6288770040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.