ALLISON KUTNER CLARK


Address: 3705 Bevan Dr, Fairfax, VA 22030-4812
Phone: 7034003035

ALLISON KUTNER CLARK (NPI# 1144467259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144467259
Entity Type Individual
Full Name ALLISON KUTNER CLARK
Credential M.ED., BCBA
Practice Address 3705 Bevan Dr
Fairfax
VA 22030-4812
Practice Telephone 7034003035
Mailing Telephone 7034003035
Enumeration Date 2009-01-12
Last Update Date 2009-01-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 1084301 VA Behavioral Health & Social Service Providers

Other Providers ALLISON CLARK

NPI Name Taxonomy Address Enumeration
1912405291 Allison Kaye Clark Nurse Practitioner 1270 Avenue of The Americas Ste 757, New York, NY 10020-1700 2018-02-01
1306087119 Allison Maria Clark Physical Therapist 305 Sharon Rose Ln., Delhi, NY 13753 2009-03-09
1750533329 Allison Grace Clark Physical Therapist 350 S Main St Ste 216, Doylestown, PA 18901-4873 2008-10-15
1962671859 Allison Clark Massage Therapist 1611 Kresky Ave Ste 108, Suite A, Centralia, WA 98531-8982 2008-02-25
1295336972 Allison Mary Clark Speech-Language Pathologist 1 Trafalgar Sq Ste 204, Nashua, NH 03063-1998 2020-11-08
1063040947 Allison Clark Student in an Organized Health Care Education/Training Program 20900 Biscayne Blvd, Aventura, FL 33180-1495 2020-03-27
1225670086 Allison Honeycutt Clark Specialist/Technologist 101 Heart Dr, Greenville, NC 27834-8982 2019-10-14
1750945366 Allison Leigh Clark Nurse Practitioner 501 Howard Ave Ste F2, Altoona, PA 16601-4882 2019-04-29
1972099133 Allison Simone Clark Case Manager/Care Coordinator 9403 Mansfield Rd, Shreveport, LA 71118-3815 2018-07-10
1174019277 Allison Clark Behavior Technician 41521 W 11 Mile Rd, Novi, MI 48375-1803 2018-07-02

Office Location

Street Address 3705 BEVAN DR
City FAIRFAX
State VA
Zip Code 22030-4812

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003426966 Nitika Rikhi Behavioral Analyst 12972 Highland Oaks Ct, Fairfax, VA 22033-2030 2020-08-05
1710512405 Rachel Danya Robinson Behavioral Analyst 4202 Lamarre Dr, Fairfax, VA 22030-5134 2020-03-03
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1578129417 Natasha Marie Metzner Behavioral Analyst 10340 Democracy Ln Ste Band102, Fairfax, VA 22030-2518 2019-05-16
1023583069 S.h.a.p.e Solutions LLC Behavioral Analyst 12237 Fairfield House Dr Apt 311, Fairfax, VA 22033-3953 2018-10-05
1013492131 Audrey Page Behavioral Analyst 10340 Democracy Ln Ste 102b&3, Fairfax, VA 22030-2518 2018-09-25
1831677913 Francisca D Colindres Reyes Behavioral Analyst 10340 Democracy Ln Ste Band103, Fairfax, VA 22030-2518 2018-08-01
1477043925 Alleah Basic Behavioral Analyst 10340 Democracy Ln Ste 102b103, Fairfax, VA 22030-2518 2018-05-10
1194234625 Aba Center of Virginia Behavioral Analyst 4969 Vail Ridge Ln, Fairfax, VA 22030-6646 2017-09-27
1922540780 Tammy Ko Behavioral Analyst 10340 Democracy Ln Ste 102b, Fairfax, VA 22030-2518 2016-11-10
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Competitor

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City FAIRFAX
Zip Code 22030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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