Jaemika Monique Clarke

NPI #1629710421 in Eagan, Minnesota

Provider Information

NPI Number: 1629710421
Entity Type: Individual
Name: Jaemika Monique Clarke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 12, 2022
Last Updated: May 4, 2023

Practice Location

Address: 4472 CINNAMON RIDGE TRL
City: Eagan
State: Minnesota
ZIP Code: 55122-2385
Phone: (612) 387-7759

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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