Mr. Theodore Ronald Clark Jr.
Mr. Theodore Ronald Clark Jr. is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1312 NW 96th StMiami, FL 33147-2618
Phone: (786) 320-0262
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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 | 1053888925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 30, 2018 |
| Last updated in NPPES | October 30, 2018 |
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