Dominique J Clark
Dominique J Clark is a Behavior Technician in Largo, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
11216 108th WayLargo, FL 33778-3320
Phone: (727) 744-4583
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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 | 1609315910 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 20, 2017 |
| Last updated in NPPES | February 20, 2017 |
| Mailing address | 11216 108th Way, Largo, FL 33778-3320 |
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