Clare Edwards, BCBA
Individual provider Active NPI Behavior Analyst · Fortuna, CA
NPI 1558252122 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1558252122
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 2870 Nelson LN
Fortuna, CA 95540-1708 - Phone
- (707) 502-4017
- NPI assigned
- Jul 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| Wild Souls Ranch | Current |
Accepting new patients |
Locations
2870 Nelson Ln
Fortuna, CA 95540
Phone (707) 502-4017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | CA | Yes |
Addresses
Primary practice location
2870 Nelson LN
Fortuna, CA 95540-1708
Mailing address
2870 Nelson LN
Fortuna, CA 95540-1708
Other providers in Fortuna, CA
- Patricia Dillon
- Stephanie S Dittmer
- Mary Terese Dodd
- Tamara Smith Douglass
- Fannette Downie-Allman
- Eel River Valley Surgical Group
- Kelly Ehrhardt
- Kerisa Sue Elloway
- Courtney Embry
- Gabriel Enriquez
All providers in Fortuna, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. 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.