Individual
CLARK JOHNSTON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3555 KENYON ST STE 101, SAN DIEGO, CA 92110-5341
(619) 600-0683
(619) 600-0683
Mailing address
3555 KENYON ST STE 101, SAN DIEGO, CA 92110-5341
(619) 600-0683
(616) 600-0683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206KQP3H
—
CA
Enumeration date
03/23/2021
Last updated
04/06/2021
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