Individual
KELSEY J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
(870) 464-1338
Mailing address
702 HICKORY ST, ARKADELPHIA, AR 71923-5040
(870) 464-1337
(870) 464-1338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-62262
AR
Other
Enumeration date
03/10/2022
Last updated
10/31/2022
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