NPI 1104654748

Bailee Ann Clark

Practitioner Behavior Analyst Meridian, ID

Practice location

Address: 2549 N Stokesberry Pl, Meridian, ID 83646-1144
Phone: (478) 449-5275
Mailing address: 2606 S Tagish Way, Meridian, ID 83642-4565

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Idaho →

Registry record

NPI: 1104654748
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Jul 2024
Record last updated: 24 Jul 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.