Dishon Clark

Behavior Technician · Marlborough, MA

Individual Active NPI

NPI number 1003447616

Practice location

225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Phone
(850) 510-6013

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NPI record

NPI
1003447616
Entity type
Individual (Type 1)
Enumeration date
February 1, 2020
Last updated
February 1, 2020
Certified
February 1, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

255 Honeysuckle Cir Apt 609
Lawrenceville, GA 30046-3223

About Dishon Clark

Dishon Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900. The NPI number 1003447616 was assigned on February 1, 2020 and the record was last updated on February 1, 2020.

Frequently asked questions

What is the NPI number of Dishon Clark?

The NPI number is 1003447616.

What is the phone number of Dishon Clark?

The phone number listed for the practice location is (850) 510-6013.

Where is Dishon Clark located?

225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900.

What is the taxonomy code for Dishon 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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