Samantha Clark
Samantha Clark is a Behavior Technician in Escondido, California. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
312 S Juniper St Ste 202Escondido, CA 92025-4998
Phone: (888) 428-3223
Fax: (323) 866-1881
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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 | 1538832373 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 28, 2021 |
| Last updated in NPPES | July 28, 2021 |
| Certification date | July 28, 2021 |
| Mailing address | 4221 Wilshire Blvd Ste 300a, Los Angeles, CA 90010-3537 |
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