Individual
AMBER CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 E GENERAL STEWART WAY STE 103, HINESVILLE, GA 31313-2636
(877) 321-2899
(877) 540-0182
Mailing address
96 SKYLAND SPRUCE DR, FORT STEWART, GA 31315-1787
(877) 321-2899
(877) 540-0182
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/01/2025
Last updated
10/01/2025
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