Benjamin Clark

NPI #1003638792 in Irving, Texas

Provider Information

NPI Number: 1003638792
Entity Type: Individual
Name: Benjamin Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 25, 2024
Last Updated: Oct 25, 2024

Practice Location

Address: 320 DECKER DR
City: Irving
State: Texas
ZIP Code: 75062-3999
Phone: (972) 585-7030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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