Takala Clark
Takala Clark is a Behavior Technician in Melbourne, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
475 S John Rodes BlvdMelbourne, FL 32904-1093
Phone: (321) 241-1170
Fax: (321) 241-1171
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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 | 1346767134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 23, 2017 |
| Last updated in NPPES | August 23, 2017 |
| Mailing address | 475 S John Rodes Blvd, Melbourne, FL 32904-1093 |
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