Jake Clancy

NPI #1356920136 in Burleson, Texas

Provider Information

NPI Number: 1356920136
Entity Type: Individual
Name: Jake Clancy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 7, 2021
Last Updated: Aug 3, 2023

Practice Location

Address: 12333 BEAR PLZ STE 200
City: Burleson
State: Texas
ZIP Code: 76028-0215
Phone: (682) 900-1444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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