Nicole Janine Clark, MS STUDENTS WITH DIS

NPI #1598165144 in Wantagh, New York

Provider Information

NPI Number: 1598165144
Entity Type: Individual
Name: Nicole Janine Clark, MS STUDENTS WITH DIS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: MS STUDENTS WITH DIS
Enumeration Date: Sep 2, 2014
Last Updated: Sep 2, 2014

Practice Location

Address: 1787 VILLAGE LN N
City: Wantagh
State: New York
ZIP Code: 11793-3228
Phone: (516) 809-6866

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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