NPI 1275204513
Jennifer K Clark
Practice location
- Address
- 807 Donnell Blvd STE Q, Daleville, AL 36322-2111
- Phone
- (334) 494-5010
- Mailing address
- 1936 Ross Clark Cir, Dothan, AL 36301-5750
Registered specialties (2)
Assistant Behavior Analyst
Primary
Behavior Technician
Registry record
- NPI
- 1275204513
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2021
- Record last updated
- 27 Mar 2025
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.