Amanda Clark, RBT

NPI #1760364269 in La Porte, Indiana

Provider Information

NPI Number: 1760364269
Entity Type: Individual
Name: Amanda Clark, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Jul 24, 2025
Last Updated: Jul 24, 2025

Practice Location

Address: 2910 MONROE ST
City: La Porte
State: Indiana
ZIP Code: 46350-5249
Phone: (574) 387-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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