Individual provider · NPI-1

Toni Clark, M.Ed, BCBA, LBA

Behavior Analyst · Grand Blanc, MI

NPI number1730548074
StatusActive
Last updated in NPPESNov 2, 2022

Details

NPI
1730548074
Entity type
Individual (NPI-1)
Name
Toni Clark
Credential
M.Ed, BCBA, LBA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 15, 2016
Certification date
Nov 2, 2022
Last updated
Nov 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst7401000780MIYes

Practice location

8283 Office Park Dr
Grand Blanc, MI 48439-2032

Phone 810-321-3018

Mailing address

8285 S Saginaw St
Grand Blanc, MI 48439-2468

Phone 844-854-6878

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