NPI 1225645617

Samantha Jo Clark

Practitioner Behavior Analyst Adrian, MI

Practice location

Address: 1424 S Main St, Adrian, MI 49221-4309
Phone: (517) 312-1711

Registered specialties (2)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 7401002239 (MI)

Other Behavior Analyst providers in Michigan →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1225645617
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2020
Record last updated: 9 Nov 2023

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.