Individual
JULIA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
8090 WALNUT RUN RD, CORDOVA, TN 38018-6362
(901) 509-8347
Mailing address
901 LACKEY RD, MARION, AR 72364-5016
(331) 385-7180
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-395929
AR
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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