Individual
CLARK ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
(855) 910-6147
Mailing address
7090 SAMUEL MORSE DR STE 100, COLUMBIA, MD 21046-3444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA1232
MD
Other
Enumeration date
03/10/2022
Last updated
10/09/2025
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