Madison Malia Clark
Madison Malia Clark is a Behavior Technician in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
1212 Marsh St Ste 1San Luis Obispo, CA 93401-3346
Phone: (503) 574-5100
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1487374542 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 30, 2022 |
| Last updated in NPPES | August 30, 2022 |
| Certification date | August 30, 2022 |
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