Kristin Ann Clark
Behavior Technician in Walnut Creek, CA. Individual provider (NPI-1).
NPI number1982255790
StatusActive
Last updated in NPPESSep 23, 2019
Details
- NPI
- 1982255790
- Entity type
- Individual (NPI-1)
- Name
- Kristin Ann Clark
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2019
- Last updated
- Sep 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2730 Shadelands Dr Bldg 10Walnut Creek, CA 94598-2538
Phone 925-266-8400
Mailing address
2730 Shadelands Dr Bldg 10Walnut Creek, CA 94598-2538
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