Destiny Clark

NPI #1407690035 in Springfield, Virginia

Provider Information

NPI Number: 1407690035
Entity Type: Individual
Name: Destiny Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 19, 2024
Last Updated: Jun 19, 2024

Practice Location

Address: 7420 FULLERTON RD STE 110
City: Springfield
State: Virginia
ZIP Code: 22153-2836
Phone: (240) 342-2666

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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