Dystinee M Clark

NPI #1093334716 in Waipahu, Hawaii

Provider Information

NPI Number: 1093334716
Entity Type: Individual
Name: Dystinee M Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 13, 2020
Last Updated: Oct 30, 2023

Practice Location

Address: 94-849 LUMIAINA ST UNIT 201
City: Waipahu
State: Hawaii
ZIP Code: 96797-5677
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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