SANDRA KAY CLARK (NPI# 1669623708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669623708 |
| Entity Type | Individual |
| Full Name | SANDRA KAY CLARK |
| Practice Address |
16503 W Mckinley St Goodyear AZ 85338-6170 |
| Practice Telephone | 6238821054 |
| Mailing Telephone | 6238821054 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 650836 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1013568039 | Sandra D Clark | Technician | 718 W 14th St, Junction City, KS 66441-2129 | 2019-09-20 |
| 1972980001 | Sandra Clark | Counselor | 66950 Ironwood Dr Apt 223, Desert Hot Springs, CA 92240-4401 | 2015-04-27 |
| 1154750586 | Sandra Clark | Social Worker | 3805 Woodside Dr, Sanford, NC 27332-8110 | 2013-11-06 |
| 1205142106 | Sandra Denice Clark | Counselor | 5701 N Hills St, Meridian, MS 39307-2903 | 2010-08-30 |
| 1003141425 | Sandra Ellen Clark | Speech-Language Pathologist | 242 Maple Dr, Shippenville, PA 16254-9022 | 2009-10-03 |
| 1487890489 | Sandra Marie Clark | Registered Nurse | 312 E 207th St, Bronx, NY 10467-4202 | 2008-12-21 |
| 1669696019 | Sandra Clark | Social Worker | 534 S Terrace Rd, Chandler, AZ 85226-4626 | 2007-04-13 |
| 1578692463 | Sandra Clark | Radiologic Technologist | 139 County Road 379, Water Valley, MS 38965-3607 | 2007-03-05 |
| 1003915414 | Sandra Singleton Clark | Registered Nurse | 157 Paragon Pkwy, Clyde, NC 28721-9463 | 2006-09-22 |
| Street Address |
16503 W MCKINLEY ST |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85338-6170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226884 | Caroline Chang | Dentist | 15530 W Roosevelt St Ste E106, Goodyear, AZ 85338 | 2018-05-20 |
| 1609376714 | Rosanna Alvarez | Licensed Practical Nurse | 17432 W Elaine Dr, Goodyear, AZ 85338 | 2018-02-15 |
| 1023534419 | Jennifer Elizabeth Lawrence Dixon | Social Worker | 319 N Lichfield Rd, Suite 105, Goodyear, AZ 85338 | 2017-08-17 |
| 1346774916 | Vanessa Castillo | Specialist/Technologist | 18035 W. Yuma Rd, Goodyear, AZ 85338 | 2017-04-20 |
| 1386008076 | Hope Behavioral Health Residential Care | Substance Abuse Rehabilitation Facility | 15985 W.williams Street, Goodyear, AZ 85338 | 2016-04-08 |
| 1952760241 | Jeremy John Abdul-haqq | Dentist | 15661 W Roosevelt St Ste 102, Goodyear, AZ 85338 | 2016-02-16 |
| 1417206897 | Kelly Renee Filo | Occupational Therapy Assistant | 10189 S. Hacienda Dr., Goodyear, AZ 85338 | 2012-08-31 |
| 1194015545 | Nancy Ann Amore | Licensed Practical Nurse | 15578 W Yuma Road, Goodyear, AZ 85338 | 2011-04-19 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| Find all providers in zip 85338 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131161 | Brooke Kathryn Seavitt | Behavioral Analyst | 15390 W Centerra Dr N Apt 4, Goodyear, AZ 85338-4170 | 2020-10-13 |
| 1700410610 | Abolade Akeem Sanusi | Behavioral Analyst | 17592 W Hadley St, Goodyear, AZ 85338-4030 | 2020-02-28 |
| 1669011060 | Milestones Therapy Inc | Behavioral Analyst | 4200 N Pebble Creek Pkwy Apt 2072, Goodyear, AZ 85395-9029 | 2020-01-02 |
| 1598125858 | Dominique Giddings | Behavioral Analyst | 15672 W Devonshire Ave, Goodyear, AZ 85395-7773 | 2016-02-29 |
| 1821413071 | Christopher Odetoye | Behavioral Analyst | 16870 W Woodlands Ave, Goodyear, AZ 85338-6054 | 2014-02-25 |
| 1487971990 | Cecelia S Hill | Behavioral Analyst | 16235 W. Coronado Rd., Goodyear, AZ 85395 | 2010-04-23 |
| 1386258945 | Alexis Quesada Parra | Behavioral Analyst | 13481 W Mcdowell Rd Unit 400, Goodyear, AZ 85395-2720 | 2020-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407273 | Richard Earl North IIi | Behavioral Analyst | 9430 S 34th Ln, Laveen, AZ 85339-2506 | 2020-11-03 |
| 1164029617 | Lacuna Autism Services LLC | Behavioral Analyst | 10812 W Monte Vista Rd, Avondale, AZ 85392-5408 | 2020-10-07 |
| 1538773643 | Athra Khdaier | Behavioral Analyst | 10873 W Devonshire Ave, Phoenix, AZ 85037-5760 | 2020-09-04 |
| 1730793076 | Shelby Leinweber | Behavioral Analyst | 2095 W Pinnacle Peak Rd Ste 110b, Phoenix, AZ 85027-1247 | 2020-09-03 |
| 1699387944 | Aba Center of Excellence for Autism LLC (ace for Autism) | Behavioral Analyst | 7353 E Sugarloaf St, Mesa, AZ 85207-0948 | 2020-08-18 |
| 1821609413 | Sonoran Learning and Behavioral Services LLC | Behavioral Analyst | 34225 N 27th Dr Bldg 4b, Phoenix, AZ 85085-6087 | 2020-08-17 |
| 1326663808 | Keisha M Solis | Behavioral Analyst | 99 W Palomino Dr Apt 208, Chandler, AZ 85225-7713 | 2020-06-10 |
| 1215559810 | Elite Community Services, LLC | Behavioral Analyst | 3651 E Baseline Rd Ste E-222, Gilbert, AZ 85234-2689 | 2020-05-18 |
| 1992327183 | Carol Bell | Behavioral Analyst | 4560 S Centric Way, Mesa, AZ 85212-9508 | 2020-05-11 |
| 1225657547 | Az Sprout Mc 1 LLC | Behavioral Analyst | 21725 N 20th Ave Ste 101-102, Phoenix, AZ 85027-2640 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
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| 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.