Individual
AMAYA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. BCBA, LBA
Contact information
Practice address
3142 S HIGHWAY 161 STE 43075052, GRAND PRAIRIE, TX 75052-7685
(469) 808-1101
Mailing address
1623 TULEY ST, CEDAR HILL, TX 75104-4959
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-77524
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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