NPI 1003638792
Benjamin Clark
Practice location
- Address
- 320 Decker Dr, Irving, TX 75062-3999
- Phone
- (972) 585-7030
- Mailing address
- 7108 S Kanner Hwy, Stuart, FL 34997-7462
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003638792
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 25 Oct 2024
- Record last updated
- 25 Oct 2024
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.