Kennyae Dynae Clark
Kennyae Dynae Clark is a Behavior Technician in Lancaster, California. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
626 W Lancaster Blvd # 52Lancaster, CA 93534-3108
Phone: (661) 258-3211
Fax: (855) 568-2494
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1457070724 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 22, 2022 |
| Last updated in NPPES | August 22, 2022 |
| Certification date | August 22, 2022 |
| Mailing address | 100 N Pacific Coast Hwy Ste 1400, El Segundo, CA 90245-5602 |
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