Dmitrius Clark
Behavior Technician · Stockton, CA
NPI number
1003386657
Practice location
3620 W. Hammer LaneStockton, CA 95219
- Phone
- (209) 521-4791
NPI record
- NPI
- 1003386657
- Entity type
- Individual (Type 1)
- Enumeration date
- November 27, 2018
- Last updated
- November 27, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | — |
Mailing address
3425 Coffee Rd Suite C2Modesto, CA 95355
About Dmitrius Clark
Dmitrius Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3620 W. Hammer Lane, Stockton, CA 95219. The NPI number 1003386657 was assigned on November 27, 2018 and the record was last updated on November 27, 2018.
Frequently asked questions
What is the NPI number of Dmitrius Clark?
The NPI number is 1003386657.
What is the phone number of Dmitrius Clark?
The phone number listed for the practice location is (209) 521-4791.
Where is Dmitrius Clark located?
3620 W. Hammer Lane, Stockton, CA 95219.
What is the taxonomy code for Dmitrius Clark?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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