Audrey Clark

Behavior Technician · Bentonville, AR

Individual Active NPI

NPI number 1346872959

Practice location

2601 N Walton Blvd Ste 1
Bentonville, AR 72712-4302
Phone
(479) 802-4798
Fax
(479) 688-0589

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NPI record

NPI
1346872959
Entity type
Individual (Type 1)
Enumeration date
February 11, 2020
Last updated
February 11, 2020
Certified
February 11, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X 20-111692 AR

About Audrey Clark

Audrey Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302. The NPI number 1346872959 was assigned on February 11, 2020 and the record was last updated on February 11, 2020.

Audrey Clark lists a license in the registry: #20-111692 (AR) 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 Audrey Clark?

The NPI number is 1346872959.

What is the phone number of Audrey Clark?

The phone number listed for the practice location is (479) 802-4798.

Where is Audrey Clark located?

2601 N Walton Blvd Ste 1, Bentonville, AR 72712-4302.

What is the taxonomy code for Audrey 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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