Crystal Clark

Behavior Analyst · Hartland, MI

Individual Active NPI

NPI number 1801259619

Practice location

12319 Highland Rd Ste 501
Hartland, MI 48353-2946
Phone
(810) 991-1211

Open in Google Maps

NPI record

NPI
1801259619
Entity type
Individual (Type 1)
Enumeration date
March 30, 2016
Last updated
November 1, 2023
Certified
December 6, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Other Technician 247200000X — —

About Crystal Clark

Crystal Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 12319 Highland Rd Ste 501, Hartland, MI 48353-2946. The NPI number 1801259619 was assigned on March 30, 2016 and the record was last updated on November 1, 2023.

Frequently asked questions

What is the NPI number of Crystal Clark?

The NPI number is 1801259619.

What is the phone number of Crystal Clark?

The phone number listed for the practice location is (810) 991-1211.

Where is Crystal Clark located?

12319 Highland Rd Ste 501, Hartland, MI 48353-2946.

What is the taxonomy code for Crystal Clark?

The primary taxonomy code is 103K00000X – Behavior Analyst; 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.

Other Behavior Analyst providers in Hartland

All Behavior Analyst providers in Hartland, MI →