Secelia Clark

NPI #1063146033 in Forest, Virginia

Provider Information

NPI Number: 1063146033
Entity Type: Individual
Name: Secelia Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 14, 2022
Last Updated: Jun 2, 2023

Practice Location

Address: 2001 ENTERPRISE DR
City: Forest
State: Virginia
ZIP Code: 24551-2653
Phone: (434) 386-8982

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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