Crystal Clark
Crystal Clark is an Other Technician in Hartland, Michigan. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
12319 Highland Rd Ste 501Hartland, MI 48353-2946
Phone: (810) 991-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|---|
| Other Technician | Taxonomy 247200000X |
Record details
| NPI number | 1801259619 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 30, 2016 |
| Last updated in NPPES | November 1, 2023 |
| Certification date | December 6, 2021 |
| Mailing address | 12319 Highland Rd Ste 501, Hartland, MI 48353-2946 |
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