Brandi Clark

Behavior Technician · Saint Marys, GA

Individual Active NPI

NPI number 1124516182

Practice location

107 Industrial Dr Ste E
Saint Marys, GA 31558-4436
Phone
(912) 324-5012

Open in Google Maps

NPI record

NPI
1124516182
Entity type
Individual (Type 1)
Enumeration date
April 25, 2018
Last updated
April 25, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-18-54167 GA

Mailing address

10175 Fortune Pkwy Unit 903
Jacksonville, FL 32256-6755
Phone
(904) 538-0713

About Brandi Clark

Brandi Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 107 Industrial Dr Ste E, Saint Marys, GA 31558-4436. The NPI number 1124516182 was assigned on April 25, 2018 and the record was last updated on April 25, 2018.

Brandi Clark lists a license in the registry: #RBT-18-54167 (GA) 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 Brandi Clark?

The NPI number is 1124516182.

What is the phone number of Brandi Clark?

The phone number listed for the practice location is (912) 324-5012.

Where is Brandi Clark located?

107 Industrial Dr Ste E, Saint Marys, GA 31558-4436.

What is the taxonomy code for Brandi 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.

Other Behavior Technician providers in Saint Marys

All Behavior Technician providers in Saint Marys, GA →