Katelyn Truss Clark

Behavior Technician · Cornelius, NC

Individual Active NPI

NPI number 1871148569

Practice location

19615 Liverpool Pkwy Ste B
Cornelius, NC 28031-4075
Phone
(818) 241-6780

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NPI record

NPI
1871148569
Entity type
Individual (Type 1)
Enumeration date
August 8, 2019
Last updated
August 8, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1055 E Colorado Blvd Ste 560
Pasadena, CA 91106-2380
Phone
(818) 241-6780
Fax
(818) 241-6853

About Katelyn Clark

Katelyn Truss Clark is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075. The NPI number 1871148569 was assigned on August 8, 2019 and the record was last updated on August 8, 2019.

Frequently asked questions

What is the NPI number of Katelyn Truss Clark?

The NPI number is 1871148569.

What is the phone number of Katelyn Clark?

The phone number listed for the practice location is (818) 241-6780.

Where is Katelyn Clark located?

19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075.

What is the taxonomy code for Katelyn 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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