Individual
NA'TRIANA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 N I-10 SERVICE RD, METAIRIE, LA 70006
(000) 000-0000
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(888) 880-9270
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/31/2018
Last updated
12/31/2018
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