Kynzie Clark

NPI #1336871664 in Midvale, Utah

Provider Information

NPI Number: 1336871664
Entity Type: Individual
Name: Kynzie Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 27, 2022
Last Updated: Jun 27, 2022

Practice Location

Address: 7434 S STATE ST
City: Midvale
State: Utah
ZIP Code: 84047-2014
Phone: (801) 456-9955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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