NPI 1003158569

Ebony Clark

Practitioner Behavior Analyst Las Vegas, NV

Practice location

Address: 7000 Paradise Rd APT 2046, Las Vegas, NV 89119-4480
Phone: (760) 587-5685

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1003158569
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Mar 2013
Record last updated: 22 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.