Individual
CAYLEE FAITH CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
4418 ROXBURGHE CT, MURFREESBORO, TN 37128-4696
(615) 916-9860
Mailing address
4418 ROXBURGHE CT, MURFREESBORO, TN 37128-4696
(615) 916-9860
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
TN
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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