Andrea Clark

NPI #1164111043 in New Brighton, Minnesota

Provider Information

NPI Number
1164111043
Entity Type
Individual
Name
Andrea Clark
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 5, 2023
Last Updated
May 5, 2023

Practice Location

Address
2483 15TH ST NW STE A
ZIP Code
55112-5604
Phone
(918) 639-9067

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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