Kamryn Clark
Behavior Technician in Concord, NC. Individual provider (NPI-1).
NPI number1003709502
StatusActive
Last updated in NPPESJun 2, 2025
Details
- NPI
- 1003709502
- Entity type
- Individual (NPI-1)
- Name
- Kamryn Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2025
- Certification date
- Jun 2, 2025
- Last updated
- Jun 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-25-441010 | NC | Yes |
Practice location
215 Le Phillip Ct NeConcord, NC 28025-2900
Phone 706-842-5330 · Fax 706-842-5340
Mailing address
209 7th St Fl 3Augusta, GA 30901-1486
Phone 706-842-5330 · Fax 706-842-5340
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