Nicole Clark, MS, CMC

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

705 W 7TH Ave Ste B
Spokane, WA 99204-2836

Phone

(509) 326-5525

NPI assigned

Jun 11, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1497323018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W 7TH AVE STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042836",
            "telephone_number": "509-326-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W 7TH AVE STE B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042836",
            "telephone_number": "509-326-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MS, CMC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malia Kari Clark
• Margaret Kristin Clark, MD
• Matthew Ray Clark
• Michael Thomas Clark, PT, DPT
• Nathan Scott Clark, DO
• Pamela M. Clark, PSY.D.
• Peter James Clark, ATC, AT-L, CSCS, MA
• Rina Clark, LMP
• Sara M Clark, MD
• Shirlee Clark

• All providers in Spokane, WA
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.