Active NPIIndividual providerSole proprietor

Mr. Adam Clark, MED, BCBA

Behavior Analyst in Duxbury, Massachusetts

NPI Number1861940728
Practice location
120 Laurel St, Duxbury, MA 02332-2936
Fax
—
Last updated
September 20, 2016

Adam Clark is a Behavior Analyst based in Duxbury, MA. Adam Clark practices in Duxbury, MA and has the professional credentials of MED, BCBA. The NPI Number for Adam Clark is 1861940728 and holds a License No. 312 (MA). The current practice location address for Adam Clark is 120 Laurel St, Duxbury, MA 02332-2936 and can be reached out via phone at 617-620-8588.

Provider Profile Details

NPI Number
1861940728
Provider Name
Adam Clark
Credential
MED, BCBA
Provider Entity Type
Individual
Gender
Male
Address
120 Laurel St, Duxbury, MA 02332-2936
Phone Number
617-620-8588
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2016
Last Update Date
September 20, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
120 Laurel St
Duxbury, MA 02332-2936
Zip
02332-2936
Phone Number
617-620-8588
Duxbury, MA 02332Get directions →

Provider Business Mailing Address Details

Address
120 Laurel St
Duxbury, MA 02332-2936
City
Duxbury
State
MA
Zip
02332-2936
Phone Number
617-620-8588

License Information

License Number
312
License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Adam Clark, MED, BCBA?

The NPI number of Mr. Adam Clark, MED, BCBA is 1861940728. It was assigned on September 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. Adam Clark, MED, BCBA?

Mr. Adam Clark, MED, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 312.

Where does Mr. Adam Clark, MED, BCBA practice?

The practice location is 120 Laurel St, Duxbury, MA 02332-2936. The office can be reached at 617-620-8588 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861940728 directly on the NPPES registry website.

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