CHANDA N CLARK
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1154069755- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 10632 EAGLE WAY, HOPKINSVILLE, KY, 422408775
- Phone
- (270) 702-4641
Specialties & Taxonomies
Behavior Technician
Primary