Natalie Nicole Clark
NPI #1497386908 in Lake Elsinore, California
Provider Information
- NPI Number
- 1497386908
- Entity Type
- Individual
- Name
- Natalie Nicole Clark
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Feb 3, 2020
- Last Updated
- Feb 3, 2020
Practice Location
- Address
- 32162 MACHADO ST
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92530-5211
- Phone
- (657) 272-9675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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