DESTINY CLARK

Behavior Technician

Active Individual
NPI: 1407690035

Practice Address

7420 FULLERTON RD STE 110
Springfield, VA 22153

Phone: (240) 342-2666

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1407690035 is the National Provider Identifier for DESTINY CLARK, a Behavior Technician provider located in Springfield, VA. This NPI was enumerated on June 19, 2024.
DESTINY CLARK practices at 7420 FULLERTON RD STE 110, Springfield, VA 22153.

Quick Facts

NPI
1407690035
Type
Individual
Enumerated
Jun 19, 2024
Last Updated
Jun 19, 2024

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