Andrea Clark
Andrea Clark is a Behavior Technician in New Brighton, Minnesota. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
2483 15th St NW Ste ANew Brighton, MN 55112-5604
Phone: (918) 639-9067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1164111043 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 5, 2023 |
| Last updated in NPPES | May 5, 2023 |
| Certification date | May 5, 2023 |
| Mailing address | 713 Carpenter Rd, Nocona, TX 76255-6820 |
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