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Brianna Clark

Behavior Technician in Santa Clara, CA. Individual provider (NPI-1).

NPI number1982108957
StatusActive
Last updated in NPPESMar 22, 2018

Details

NPI
1982108957
Entity type
Individual (NPI-1)
Name
Brianna Clark
Sex
Female
Sole proprietor
No
Enumeration date
Mar 22, 2018
Last updated
Mar 22, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3170 De La Cruz Blvd Ste 107
Santa Clara, CA 95054-2411

Phone 408-423-8076

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807

Phone 818-345-2345

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