NPI 1003447616

Dishon Clark

Practitioner Behavior Technician Marlborough, MA

Practice location

Address: 225 Cedar Hill St STE 200, Marlborough, MA 01752-5900
Phone: (850) 510-6013
Mailing address: 255 Honeysuckle Cir APT 609, Lawrenceville, GA 30046-3223

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Massachusetts →

Registry record

NPI: 1003447616
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2020
Record last updated: 1 Feb 2020

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.