Individual
DR. JESSICA ANN CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D, BCBA
Contact information
Practice address
243 WEBBER HILL RD, KENNEBUNK, ME 04043-6319
(207) 467-5296
Mailing address
243 WEBBER HILL RD, KENNEBUNK, ME 04043-6319
(207) 467-5296
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18440
ME
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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