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

DOMINIQUE J CLARK

Active

DOMINIQUE J CLARK is a Behavior Technician healthcare provider located in LARGO, Florida. NPI 1609315910 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · LARGO, FL

Registration Details

NPI Number
1609315910
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2017 (9.4637567933647 yrs)
Last Updated
Feb 20, 2017

Practice Information

Address
11216 108TH WAY
LARGO, FL, 337783320
Browse FL providers · Browse ZIP 33778
Phone
7277444583
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in LARGO, FL

Name Credential NPI
COUNTESS MORRIS RBT 1831510601
MS. RUTH DUCEY 1386009181
KRISTEN MARIE SHOOPMAN 1568914547
CAITLYN BOBERG 1629503784
JAHSALYN BARNES 1679009229
KELEIGH E DEVLIN 1043737109
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.