Jordan Clark

NPI #1073262531 in Fredericksburg, Virginia

Provider Information

NPI Number: 1073262531
Entity Type: Individual
Name: Jordan Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 22, 2022
Last Updated: Mar 22, 2022

Practice Location

Address: 11905 BOWMAN DR STE 507
City: Fredericksburg
State: Virginia
ZIP Code: 22408-7344
Phone: (339) 223-7371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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