Mary Clark

Behavior Technician · Ashland, KY

Individual Active NPI

NPI number 1023593571

Practice location

3701 Landsdowne Dr
Ashland, KY 41102-5422
Phone
(606) 326-2878

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NPI record

NPI
1023593571
Entity type
Individual (Type 1)
Enumeration date
October 1, 2018
Last updated
April 1, 2021
Certified
April 1, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-20-148671 KY
Counselor 101Y00000X — —

Mailing address

PO Box 790
Ashland, KY 41105-0790
Phone
(606) 329-8588
Fax
(606) 329-8195

About Mary Clark

Mary Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3701 Landsdowne Dr, Ashland, KY 41102-5422. The NPI number 1023593571 was assigned on October 1, 2018 and the record was last updated on April 1, 2021.

Mary Clark lists a license in the registry: #RBT-20-148671 (KY) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mary Clark?

The NPI number is 1023593571.

What is the phone number of Mary Clark?

The phone number listed for the practice location is (606) 326-2878.

Where is Mary Clark located?

3701 Landsdowne Dr, Ashland, KY 41102-5422.

What is the taxonomy code for Mary Clark?

The primary taxonomy code is 106S00000X – Behavior Technician; 1 more listed above.

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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