Nicolle M Clark, M.ED.

NPI #1952141715 in Universal City, Texas

Provider Information

NPI Number: 1952141715
Entity Type: Individual
Name: Nicolle M Clark, M.ED.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: M.ED.
Enumeration Date: May 29, 2024
Last Updated: May 29, 2024

Practice Location

Address: 122 W LINDBERGH BLVD
City: Universal City
State: Texas
ZIP Code: 78148-4322
Phone: (210) 701-0525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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