Individual
ASHTON CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1315 E HOFFER ST, KOKOMO, IN 46902-2474
(765) 419-0411
Mailing address
12814 CARDINAL GLEN DR, GALVESTON, IN 46932-7200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64584
IN
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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