Bailee Ann Clark

NPI #1104654748 in Meridian, Idaho

Provider Information

NPI Number: 1104654748
Entity Type: Individual
Name: Bailee Ann Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jul 24, 2024
Last Updated: Jul 24, 2024

Practice Location

Address: 2549 N STOKESBERRY PL
City: Meridian
State: Idaho
ZIP Code: 83646-1144
Phone: (478) 449-5275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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