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Deactivated NPI 1750956918 Deactivated / Inactive NPI Female Practitioner

Nicole Dorothy Clark , RN

Behavior Analyst • Fort Pierce, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicole Clark has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 20, 2021
NPI Deactivation Date March 26, 2024
Total Practice Duration ~3 Years of Practice (2021 – 2024)

Professional Overview & Biography Verified Profile Summary

Nicole Clark, RN was a registered Behavior Analyst practicing in Fort Pierce, FL. Throughout an active medical career spanning 3 years, Nicole Clark provided care at the practice location at 526 CAMPBELL RD until profile deactivation on 2024-03-26.

Practice Location & Contact Primary Location

Practice Address

526 Campbell Rd

Fort Pierce, FL 349452105

Telephone 7722842084

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Fort Pierce, FL

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

Practicing in Fort Pierce, 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

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 26, 2024

Record deactivated on March 26, 2024

NPI Profile Active May 20, 2021

NPI status registered as active in NPPES database

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Updated Practice Location May 20, 2021

Registered at 526 CAMPBELL RD, FORT PIERCE, FL 349452105 (Tel: 7722842084)

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Updated Business Mailing Address May 20, 2021

Registered at 526 CAMPBELL RD, FORT PIERCE, FL 349452105 (Tel: 7722842084)

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Provider Name / Credentials Updated May 20, 2021

Recorded as NICOLE CLARK, RN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2021

Behavior Analyst

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Initial NPI Registration & Enumeration May 20, 2021

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: 1750956918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2021
Last Update: May 20, 2021
Deactivation Date: March 26, 2024

Mailing Address

526 Campbell Rd

Fort Pierce, FL 349452105

Phone: 7722842084

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.