Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801259619 Individual Practitioner Female Practitioner

Crystal Clark

Behavior Analyst • Hartland, MI

Professional Overview & Biography Verified Profile Summary

Crystal Clark is a registered healthcare professional specializing in Behavior Analyst in Hartland, MI. Practice services are available at 12319 HIGHLAND RD STE 501 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12319 Highland Rd Ste 501

Hartland, MI 483532946

Telephone 8109911211
Associated Practice Facility / Clinic
🏢 Ivyrehab Michigan, Llc Facility NPI 1508519489

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Hartland, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Hartland, MI (3207 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: 2021-12-06
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.

Technician, Other

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

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

27 Associated Practitioners
Marnie Bradin , MPT

Physical Therapist

NPI 1043770332

Master of Physical Therapy

Melissa Klimkowski , MA-CCC-SLP

Speech-Language Pathologist

NPI 1083054415

MACCCSLP

Catherine Antonczak-Grass , MS, CCC-SLP

Speech-Language Pathologist

NPI 1093120552

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Rebecca Hawkins , DPT

Physical Therapist

NPI 1124465851

Doctor of Physical Therapy

Heather Isaacson

Behavior Technician

NPI 1124690854
Lisa Hulett , OTRL

Occupational Therapist - Pediatrics

NPI 1154675296

Occupational Therapist Registered & Licensed

Career & Practice History Timeline

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

19 Historical Events
📍
Updated Practice Location November 01, 2023

Registered at 12319 HIGHLAND RD STE 501, HARTLAND, MI 483532946 (Tel: 8109911211)

📍
Updated Business Mailing Address November 01, 2023

Registered at 12319 HIGHLAND RD STE 501, HARTLAND, MI 483532946 (Tel: 8109911211)

📍
Updated Practice Location January 19, 2020

Registered at 3400 STATE ST # 750, SALEM, OR 973015861 (Tel: 9712737502)

📍
Updated Business Mailing Address January 19, 2020

Registered at 21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 913677807 (Tel: 8183452345)

📍
Updated Practice Location October 16, 2019

Registered at 15930 19 MILE RD, SUITE 150, CLINTON TWP, MI 48038 (Tel: 5864640175)

📍
Updated Business Mailing Address October 16, 2019

Registered at 15023 21 MILE RD, SHELBY TWP, MI 483155024 (Tel: 5862869644)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 16, 2019

Technician, Other

📍
Updated Practice Location June 04, 2019

Registered at 2814 WOODCLIFF CIR SE, GRAND RAPIDS, MI 49506 (Tel: 8558326727)

📍
Updated Business Mailing Address June 04, 2019

Registered at 7108 S KANNER HWY, STUART, FL 349977462 (Tel: 8558326727)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2019

Behavior Analyst

📍
Updated Practice Location July 03, 2018

Registered at 229 N SHELDON RD, PLYMOUTH, MI 48170 (Tel: 3132784601)

📍
Updated Business Mailing Address July 03, 2018

Registered at 229 N SHELDON RD, PLYMOUTH, MI 481701524 (Tel: 3132784601)

👤
Provider Name / Credentials Updated July 03, 2018

Recorded as CRYSTAL CLARK

NPI Profile Active March 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location March 30, 2016

Registered at 15930 19 MILE RD, SUITE 150, CLINTON TWP, MI 480381155 (Tel: 5864640175)

📍
Updated Business Mailing Address March 30, 2016

Registered at 15930 19 MILE RD, SUITE 150, CLINTON TWP, MI 480381155

👤
Provider Name / Credentials Updated March 30, 2016

Recorded as CRYSTAL MCLANE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 30, 2016

Technician, Other

🟢
Initial NPI Registration & Enumeration March 30, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Crystal Clark. Be the first to share your experience!

Sign in to leave a review for Crystal Clark

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801259619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 30, 2016
Last Update: November 01, 2023
Sole Proprietor: No

Mailing Address

12319 Highland Rd Ste 501

Hartland, MI 483532946

Phone: 8109911211

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.