Mariah Clark, RBT

NPI #1114732112 in Kendallville, Indiana

Provider Information

NPI Number: 1114732112
Entity Type: Individual
Name: Mariah Clark, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Feb 8, 2025
Last Updated: Feb 8, 2025

Practice Location

Address: 2767 E US HIGHWAY 6
City: Kendallville
State: Indiana
ZIP Code: 46755-9341
Phone: (260) 318-9005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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