Kiesa A Clark
Kiesa A Clark is a Behavior Technician in Lake Mary, Florida. Registered with an NPI since 2026.
- In the registry since
- 2026
Practice location Address checks out
300 International Pkwy Ste 200Lake Mary, FL 32746-5028
Phone: (866) 610-0580
Fax: (866) 611-1558
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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 | 1790689677 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 5, 2026 |
| Last updated in NPPES | October 5, 2026 |
| Certification date | October 5, 2026 |
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