Individual
BREANNA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 888-6302
Mailing address
1600 N LORRAINE ST STE 202, HUTCHINSON, KS 67501-5600
(620) 663-7595
(620) 888-6302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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