/keona Denee Clark

NPI #1124359963 in Mendham, New Jersey

Provider Information

NPI Number: 1124359963
Entity Type: Individual
Name: /keona Denee Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Jan 19, 2010
Last Updated: Jan 19, 2010

Practice Location

Address: 80 W MAIN ST
City: Mendham
State: New Jersey
ZIP Code: 07945-1257
Phone: (973) 543-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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