Individual
EMILIE REBECCA CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 S WASHINGTON ST STE 100, NAPERVILLE, IL 60540-7960
(331) 826-0226
Mailing address
604 ARLINGTON AVE, NAPERVILLE, IL 60565-6307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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