Breanne Clark

NPI #1003323544 in Navarre, Florida

Provider Information

NPI Number: 1003323544
Entity Type: Individual
Name: Breanne Clark
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 5, 2018
Last Updated: Jan 5, 2018

Practice Location

Address: 7552 NAVARRE PKWY UNIT 36
City: Navarre
State: Florida
ZIP Code: 32566-7309
Phone: (850) 939-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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