Individual provider Active NPI

Sarah Clark, BCBA

  • Behavior Analyst
  • Alexandria, VA
National Provider Identifier
1700392883
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133002182 Issued in VA
Practice address
212 S Washington St
Alexandria, VA 22314-3626
Phone
(703) 870-3880
Fax
(775) 392-1245
NPI assigned
Dec 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133002182 VA Primary

Addresses

Primary practice location

212 S Washington St
Alexandria, VA 22314-3626

Mailing address

2423 S Orange Ave # 353
Orlando, FL 32806-4543
Phone (703) 870-3880

Other practice location 1

3660 Wheeler Ave
Alexandria, VA 22304-6403
Phone (703) 870-3880 ext. 120

Other practice location 2

2805 Duke St
Alexandria, VA 22314-4512
Phone (703) 870-3880 ext. 120

Other identifiers 1

IdentifierTypeStateIssuer
30016624590005MedicaidVA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0133002182VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Autism Partnership, Inc. Behavior Analyst Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1700392883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE # 353",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S WASHINGTON ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143626",
            "telephone_number": "703-870-3880",
            "fax_number": "775-392-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3660 Wheeler Ave",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223046403",
            "country_code": "US",
            "telephone_number": "703-870-3880 x120",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2805 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144512",
            "country_code": "US",
            "telephone_number": "703-870-3880 x120",
            "fax_number": "775-392-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARAH",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133002182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016624590005",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.