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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY LYNN CLARK

Active

KELLY LYNN CLARK is a Behavior Technician healthcare provider located in LAKE MARY, Florida. NPI 1124430772 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LAKE MARY, FL

Registration Details

NPI Number
1124430772
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2014 (12.170176652982 yrs)
Last Updated
Jan 16, 2017

Practice Information

Address
791 RINEHART RD
LAKE MARY, FL, 327464876
Browse FL providers · Browse ZIP 32746
Phone
4074139550
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in LAKE MARY, FL

Name Credential NPI
SIRAH THOMAS SULLIVAN 1871895623
FALGUNI SHAH 1578844437
ERIC VEACH 1902349954
LANE SHAFFER 1689118028
ALLISON RONCAL 1821532433
TONI PARAMORE 1568907137
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.