Kaylen Clark

NPI #1013748235 in Tucker, Georgia

Provider Information

NPI Number: 1013748235
Entity Type: Individual
Name: Kaylen Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 9, 2024
Last Updated: Aug 9, 2024

Practice Location

Address: 5072 LAVISTA RD
City: Tucker
State: Georgia
ZIP Code: 30084-3500
Phone: (706) 842-5330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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