Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kristen Ann Clark, BCBA

Behavior Analyst in Fort Myers, FL · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063749679

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Registry record

Entity type Individual (Type 1)

Name Kristen Ann Clark

Credential BCBA

Sex Female

Practice address 12438 Brantley Commons Ct, Fort Myers, FL, 33907

Phone (239) 850-3679

Enumeration date Nov 3, 2009

Last updated in NPPES May 6, 2025

Taxonomy & licenses

103K00000X Behavior Analyst Behavioral Health & Social Service Providers · License 1-20-41435 (FL) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1063749679 active?

Yes, as of the latest NPPES snapshot, NPI 1063749679 is active (record last updated 2025-05-06).

How do I verify Kristen Clark's NPI record?

Cross-check NPI 1063749679 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-06.