Breonna Clark
Breonna Clark is a Behavior Technician in Benton Harbor, Michigan. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
1651 E Nickerson AveBenton Harbor, MI 49022-2469
Phone: (269) 983-5833
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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 | 1689241861 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 7, 2021 |
| Last updated in NPPES | June 7, 2021 |
| Certification date | June 7, 2021 |
| Mailing address | 1869 Union Ave Apt 3d, Benton Harbor, MI 49022-6241 |
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