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Cayla Clark

Behavior Analyst β€’ Riverdale, GA

Active NPI 1639721038 Individual Practitioner Female Practitioner
Practice location in NPPES

107 Upper Riverdale Rd Sw
Riverdale, GA 302742504

Call 7704505467 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

107 Upper Riverdale Rd Sw

Riverdale, GA 302742504

Telephone 7704505467
Organization at the Same NPPES Address or Phone
Estate Clinics By Cmg Facility NPI 1043981517

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Riverdale and Georgia

8 active clinicians are listed under Behavior Analyst with a practice address in Riverdale, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-07-14
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Jacquelyn Martin , C-FNP

Nurse Practitioner - Family

NPI 1659434876

CFNP

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location July 14, 2023

Registered at 107 UPPER RIVERDALE RD SW, RIVERDALE, GA 302742504 (Tel: 7704505467)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2023

Behavior Analyst

πŸ“
Updated Practice Location August 09, 2021

Registered at 1215 HIGHTOWER TRL STE B120, ATLANTA, GA 303506205 (Tel: 8665234268)

πŸ“
Updated Business Mailing Address August 09, 2021

Registered at PO BOX 399318, SAN FRANCISCO, CA 941399318 (Tel: 8665234268)

βœ…
NPI Profile Active July 15, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 15, 2019

Registered at 137 JOHNSON FERRY ROAD SUITE 2170, MARIETTA, GA 30068 (Tel: 8666100580)

πŸ“
Business Mailing Address (Initial Record) July 15, 2019

Registered at 300 INTERNATIONAL PARKWAY SUITE 200, LAKE MARY, FL 32746 (Tel: 8666100580)

πŸ‘€
Provider Name / Credentials (Initial Record) July 15, 2019

Recorded as CAYLA CLARK

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Behavior Technician

🟒
Initial NPI Registration & Enumeration July 15, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1639721038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2019
Last Update: July 14, 2023
Sole Proprietor: No

Mailing Address

Po Box 399318

San Francisco, CA 941399318

Phone: 8665234268

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.