Nichole Clark, BCBA

NPI #1962923995 in Clive, Iowa

Provider Information

NPI Number: 1962923995
Entity Type: Individual
Name: Nichole Clark, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Jun 29, 2017
Last Updated: Jul 31, 2017

Practice Location

Address: 13300 HICKMAN RD STE 110
City: Clive
State: Iowa
ZIP Code: 50325-8616
Phone: (515) 987-8835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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