Individual
JESSICA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 668-4041
Mailing address
608 HAMPSHIRE RD, FAIRLAWN, OH 44333-4240
(740) 238-2101
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41775
OH
Other
Enumeration date
02/14/2023
Last updated
04/08/2025
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