Kohlee Clark
Kohlee Clark is a Behavior Technician in Rexburg, Idaho. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
859 S Hwy 191 Ste 202Rexburg, ID 83440
Phone: (307) 257-5487
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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 | 1861108177 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2023 |
| Last updated in NPPES | January 30, 2023 |
| Certification date | January 23, 2023 |
| Mailing address | Po Box 20310, 55984, Cheyenne, WY 82003-7007 |
Other providers in Rexburg
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Sierra Coombs
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Eliza Detemple
859 S Yellowstone Hwy Ste 202, Rexburg, ID 83440-5294 · (307) 257-5487
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Genevieve Wilkerson Hansen
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Campbell Elizabeth Huber, RBT
859 S Highway 191 202, Rexburg, ID 83440 · (307) 257-5487