Individual
JESSICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4508 AUBURN WAY N STE B, AUBURN, WA 98002-1381
(425) 246-2619
Mailing address
4508 AUBURN WAY N STE B, AUBURN, WA 98002-1381
(425) 246-2619
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61252335
WA
Other
Enumeration date
11/25/2019
Last updated
04/15/2025
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