Brian Moon-Clark

Behavior Technician · Highland, CA

Individual Active NPI

NPI number 1245929116

Practice location

3415 21st St Apt B
Highland, CA 92346-4518
Phone
(909) 633-6596

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NPI record

NPI
1245929116
Entity type
Individual (Type 1)
Enumeration date
May 5, 2023
Last updated
May 5, 2023
Certified
May 5, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

About Brian Moon-Clark

Brian Moon-Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 3415 21st St Apt B, Highland, CA 92346-4518. The NPI number 1245929116 was assigned on May 5, 2023 and the record was last updated on May 5, 2023.

Frequently asked questions

What is the NPI number of Brian Moon-Clark?

The NPI number is 1245929116.

What is the phone number of Brian Moon-Clark?

The phone number listed for the practice location is (909) 633-6596.

Where is Brian Moon-Clark located?

3415 21st St Apt B, Highland, CA 92346-4518.

What is the taxonomy code for Brian Moon-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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