Individual
KATHLEEN PAULINE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
31 LONE HOLW, SANDY, UT 84092-5500
(801) 647-5254
Mailing address
31 LONE HOLW, SANDY, UT 84092-5500
(801) 647-5254
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
03/28/2013
Last updated
03/15/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us