Individual
TONI CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
8283 OFFICE PARK DR, GRAND BLANC, MI 48439-2032
(810) 321-3018
Mailing address
8285 S SAGINAW ST, GRAND BLANC, MI 48439-2468
(844) 854-6878
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7401000780
MI
Other
Enumeration date
02/15/2016
Last updated
11/02/2022
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