Individual
MAREN ALEXANDRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 ATLAS AVE, MADISON, WI 53714-3108
(833) 646-3222
Mailing address
502 ATLAS AVE, MADISON, WI 53714-3108
(833) 646-3222
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
528140
WI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/15/2020
Last updated
04/05/2022
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