Secelia Clark

Behavior Technician · Forest, VA

Individual Active NPI

NPI number 1063146033

Practice location

2001 Enterprise Dr
Forest, VA 24551-2653
Phone
(434) 386-8982

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NPI record

NPI
1063146033
Entity type
Individual (Type 1)
Enumeration date
July 14, 2022
Last updated
June 2, 2023
Certified
June 2, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

693 Leesville Rd
Lynchburg, VA 24502-2828
Phone
(434) 200-5750
Fax
(434) 237-1737

About Secelia Clark

Secelia Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2001 Enterprise Dr, Forest, VA 24551-2653. The NPI number 1063146033 was assigned on July 14, 2022 and the record was last updated on June 2, 2023.

Frequently asked questions

What is the NPI number of Secelia Clark?

The NPI number is 1063146033.

What is the phone number of Secelia Clark?

The phone number listed for the practice location is (434) 386-8982.

Where is Secelia Clark located?

2001 Enterprise Dr, Forest, VA 24551-2653.

What is the taxonomy code for Secelia 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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