Jorie Clark

NPI #1194216515 in Fairborn, Ohio

Provider Information

NPI Number: 1194216515
Entity Type: Individual
Name: Jorie Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 21, 2018
Last Updated: May 21, 2018

Practice Location

Address: 1750 COMMERCE CENTER BLVD
City: Fairborn
State: Ohio
ZIP Code: 45324-6333
Phone: (937) 878-8444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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