Individual
KARINA DE MARIA SOBREIRA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7220 W JEFFERSON AVE STE 202, LAKEWOOD, CO 80235-2023
(303) 225-7673
Mailing address
4759 W LIBERATION DR, HERRIMAN, UT 84096-7764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45461
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/05/2020
Last updated
10/26/2020
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