Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215688205 Individual Practitioner Female Practitioner

Heather Clark

Behavior Analyst • Pooler, GA

Professional Overview & Biography Verified Profile Summary

Heather Clark is a registered healthcare professional specializing in Behavior Analyst in Pooler, GA. Practice services are available at 105 GRAND CENTRAL BLVD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Grand Central Blvd Ste 101

Pooler, GA 313224146

Telephone 9122443305
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1245862119

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Pooler, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Pooler, GA (2715 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: 2026-06-08
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.

Assistant Behavior Analyst

NUCC Taxonomy Code: 106E00000X

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Akeelia Williams

Behavior Technician

NPI 1003692914
Amonyah Jones

Behavior Technician

NPI 1013796135
Nicole Tillmann

Behavior Technician

NPI 1023888997
Bailee Barnard

Behavior Technician

NPI 1033920616
Kiersten Campbell

Behavior Technician

NPI 1033963772
Lauren Dewitt

Behavior Technician

NPI 1043047731

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 05, 2025

Registered at 105 GRAND CENTRAL BLVD STE 101, POOLER, GA 313224146 (Tel: 9122443305)

📍
Updated Business Mailing Address December 05, 2025

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2025

Assistant Behavior Analyst

NPI Profile Active January 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 12, 2022

Registered at 727 W 6TH ST, WAYNESBORO, GA 308304407 (Tel: 7064370505)

📍
Updated Business Mailing Address January 12, 2022

Registered at PO BOX 1066, WAYNESBORO, GA 308302066 (Tel: 7064370505)

👤
Provider Name / Credentials Updated January 12, 2022

Recorded as HEATHER CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2022

Behavior Technician (License #RBT-21-194433 in GA)

🟢
Initial NPI Registration & Enumeration January 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215688205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 12, 2022
Last Update: June 08, 2026
Sole Proprietor: No

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

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.