Individual
MS. JENNIFER K CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
807 DONNELL BLVD STE Q, DALEVILLE, AL 36322-2111
(334) 494-5010
Mailing address
1936 ROSS CLARK CIR, DOTHAN, AL 36301-5750
(334) 494-5010
(334) 699-1936
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
AL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/27/2021
Last updated
03/27/2025
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