Individual
KRISTINA RENA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA, LBA
Contact information
Practice address
226 ACR 1200, ELKHART, TX 75839
(903) 905-3515
Mailing address
226 ACR 1200, ELKHART, TX 75839
(903) 905-3515
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4234
TX
Other
Enumeration date
10/25/2021
Last updated
03/08/2026
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