Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063749679 Individual Practitioner Female Practitioner

Kristen Ann Clark , BCBA

Behavior Analyst • Fort Myers, FL

Professional Overview & Biography Verified Profile Summary

Kristen Clark, BCBA is a registered healthcare professional specializing in Behavior Analyst in Fort Myers, FL. Practice services are available at 12438 BRANTLEY COMMONS CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12438 Brantley Commons Ct

Fort Myers, FL 339075683

Telephone 2398503679

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
143 Specialists

Practicing in Fort Myers, FL (13679 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: 2025-05-06
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License FL 1-20-41435

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

7 Associated Practitioners
Mara Tincher

Behavior Technician

NPI 1154093961
Amanda Mcdonald

Behavior Technician

NPI 1306357983
Lauren Mauric

Behavior Technician

NPI 1366953572
Stevianne Leon

Behavior Technician

NPI 1396209417
Isabella Brimm

Assistant Behavior Analyst

NPI 1518577162
Bianca De Oliveira

Behavior Technician

NPI 1720600232

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location May 06, 2025

Registered at 12438 BRANTLEY COMMONS CT, FORT MYERS, FL 339075683 (Tel: 2398503679)

📍
Updated Business Mailing Address May 06, 2025

Registered at 11200 CALLAWAY GREENS DR, FORT MYERS, FL 339138139 (Tel: 2398503679)

👤
Provider Name / Credentials Updated May 06, 2025

Recorded as KRISTEN CLARK, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2025

Behavior Analyst (License #1-20-41435 in FL)

📍
Updated Practice Location March 25, 2020

Registered at 1225 SW 34TH TER, CAPE CORAL, FL 339145147 (Tel: 2398503679)

👤
Provider Name / Credentials Updated March 25, 2020

Recorded as KRISTEN NEVES, BCBA

NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address October 27, 2017

Registered at 1225 SW 34TH TER, CAPE CORAL, FL 339145147 (Tel: 2398503679)

📍
Updated Practice Location October 27, 2017

Registered at 24860 BURNT PINE DR, BLDG. 6, STE. 3, BONITA SPRINGS, FL 341341909 (Tel: 2399924680)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as KRISTEN NEVES, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Assistant Behavior Analyst (License #0-01-0411 in FL)

NPI Profile Active November 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location November 03, 2009

Registered at 24860 BURNT PINE DR, BLDG. 6, STE. 3, BONITA SPRINGS, FL 341341909 (Tel: 2399924680)

📍
Updated Business Mailing Address November 03, 2009

Registered at 24860 BURNT PINE DR, BLDG. 6, STE. 3, BONITA SPRINGS, FL 341341909 (Tel: 2399924680)

👤
Provider Name / Credentials Updated November 03, 2009

Recorded as KRISTEN NEVES, BCABA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 03, 2009

Behavior Analyst (License #0-01-0411 in FL)

🟢
Initial NPI Registration & Enumeration November 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1063749679
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 03, 2009
Last Update: May 06, 2025
Sole Proprietor: No

Mailing Address

11200 Callaway Greens Dr

Fort Myers, FL 339138139

Phone: 2398503679

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.