Jestina Clark
NPI #1003627860 in San Ramon, California
Provider Information
- NPI Number
- 1003627860
- Entity Type
- Individual
- Name
- Jestina Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 20, 2025
- Last Updated
- Jan 20, 2025
Practice Location
- Address
- 110 RYAN INDUSTRIAL CT STE 3&4
- City
- San Ramon
- State
- California
- ZIP Code
- 94583-1592
- Phone
- (510) 315-6600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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