Lesley Ann Clark

Behavior Technician · Woodbine, GA

Individual Active NPI

NPI number 1003569062

Practice location

408 Bedell Ave
Woodbine, GA 31569-3585
Phone
(912) 409-7889

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NPI record

NPI
1003569062
Entity type
Individual (Type 1)
Enumeration date
January 31, 2022
Last updated
January 31, 2022
Certified
January 31, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1201 Shadowlawn Dr Ste 112
Saint Marys, GA 31558-4074

About Lesley Clark

Lesley Ann Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 408 Bedell Ave, Woodbine, GA 31569-3585. The NPI number 1003569062 was assigned on January 31, 2022 and the record was last updated on January 31, 2022.

Frequently asked questions

What is the NPI number of Lesley Ann Clark?

The NPI number is 1003569062.

What is the phone number of Lesley Clark?

The phone number listed for the practice location is (912) 409-7889.

Where is Lesley Clark located?

408 Bedell Ave, Woodbine, GA 31569-3585.

What is the taxonomy code for Lesley 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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