Demetrius Clark
Demetrius Clark is a Behavior Technician in Baton Rouge, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
6044 Ingram DrBaton Rouge, LA 70812-2327
Phone: (225) 315-2104
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1447772546 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 10, 2017 |
| Last updated in NPPES | July 21, 2022 |
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