Jennifer Clark, BA, BCABA

NPI #1295124899 in Melbourne, Florida

Provider Information

NPI Number: 1295124899
Entity Type: Individual
Name: Jennifer Clark, BA, BCABA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BA, BCABA
Enumeration Date: Jan 20, 2015
Last Updated: Jan 20, 2015

Practice Location

Address: 662 LAKE GEORGE DR
City: Melbourne
State: Florida
ZIP Code: 32940-2221
Phone: (321) 795-0778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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