Desiree Dixon-Clark, MS, LBS – Behavior Analyst

Key facts

NPI: 1073439741
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: BH008399 (PA)
Practice address: 166 Slocum St
Forty Fort, PA 18704-2936
Phone: (570) 846-0455
NPI assigned: Jun 26, 2026
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Beyond Behavior Consulting Behavior Analyst · Forty Fort, PA · NPI 1043637747

NPD (past) BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Beyond Behavior Consulting	Behavior Analyst	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Analyst	103K00000X	BH008399	PA	Yes

Addresses

Primary practice location

166 Slocum St
Forty Fort, PA 18704-2936

Mailing address

166 Slocum St
Forty Fort, PA 18704-2936
Phone (570) 846-0455

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 26, 2026.

{
    "created_epoch": "1782432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1073439741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SLOCUM ST",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187042936",
            "telephone_number": "570-846-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SLOCUM ST",
            "city": "FORTY FORT",
            "state": "PA",
            "postal_code": "187042936",
            "telephone_number": "570-846-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON-CLARK",
        "first_name": "DESIREE",
        "credential": "MS, LBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH008399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forty Fort, PA

All providers in Forty Fort, PA · Behavior Analyst in Pennsylvania

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.