Sara C Clark, MA, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-39559 Issued in IN

Practice address

2519 E 10TH St Ste a
Anderson, IN 46012-4464

Phone

(317) 527-5437

NPI assigned

Oct 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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

• ABA Programming Inc.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1770706160
  NPD (past)
• Therapy and Behavior Services, LLC

  dba Applied Therapy and Behavior Services

  • Multi-Specialty Clinic/Center
  • Greenfield, IN
  • NPI 1962937656

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1144691270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 TOUBY PIKE STE B",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469012573",
            "telephone_number": "765-628-7400",
            "fax_number": "855-940-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 E 10TH ST STE A",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460124464",
            "telephone_number": "317-527-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462022031",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2004 1/2 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "IN",
            "postal_code": "473621220",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Coronado Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462342526",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1834 Fields Blvd",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461403029",
            "country_code": "US",
            "telephone_number": "317-527-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARA",
        "middle_name": "C",
        "credential": "MA, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-15",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IN",
            "license": "1-19-39559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300036367",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City Optical Co., Inc. (Dr Tavel Family Eye Care)
• CJ's Homecare Inc. (CJ's Abundant Care)
• Carol A Clark, MD
• Colleen Clark
• Karli Clark
• Sierra Clark
• Nathan Thomas Clem, DPT
• Robert Clements
• Karen Cluxton
• Amber M Clymer

• Behavior Analyst in Anderson, IN
• Providers in Anderson, IN by specialty
• Behavior Analyst in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.