Individual
MEGAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7205 S POWER RD UNIT 100, QUEEN CREEK, AZ 85142-7456
(480) 716-1770
Mailing address
7205 S POWER RD UNIT 100, QUEEN CREEK, AZ 85142-7456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
AZ
Other
Enumeration date
05/27/2022
Last updated
10/18/2023
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