Josie Clark

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA61618949 Issued in WA

Practice address

3680 S Cedar St Ste a
Tacoma, WA 98409-5728

Phone

(206) 313-8840

NPI assigned

Feb 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Able Pediatric Health

  • Multi-Specialty Clinic/Center
  • Tukwila, WA
  • NPI 1245728534
  NPD (past)
• Soar Behavior Services

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1962862615
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1063005668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88083",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981382083",
            "telephone_number": "206-313-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 S CEDAR ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984095728",
            "telephone_number": "206-313-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JOSIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA61618949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Vondell Clark, MD
• Jacklyn M Clark, LMP
• Jason Christopher Clark, M.D.
• Jessica Clark, MS, LCGC
• John B Clark, MD
• Katelynn Michelle Clark, LCSW
• Keri Rand Clark, PH.D.
• Kristin Marie Clark, MD
• Lacrecia Marie Clark
• Lana Clark

• Behavior Analyst in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.