Individual
BRIANNA LEIGH-ANNE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1477 NC-24, CAMERON, NC 28326-9548
(910) 497-0073
Mailing address
1477 NC-24, CAMERON, NC 28326-9548
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1500702
NC
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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