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

DEANNA CLARK

Active Sole Proprietor

DEANNA CLARK is a Behavior Technician healthcare provider located in FORT GRATIOT, Michigan. NPI 1861147845 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · FORT GRATIOT, MI

Registration Details

NPI Number
1861147845
Provider Type
Individual
Gender
Female
NPI Issued
Feb 17, 2022 (4.4941573855279 yrs)
Last Updated
Feb 17, 2022
Sole Proprietor
Yes

Practice Information

Address
3245 KEEWAHDIN RD
FORT GRATIOT, MI, 480593498
Browse MI providers · Browse ZIP 48059
Phone
8109372345
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in FORT GRATIOT, MI

Name Credential NPI
KARI J KLIEMANN 1134779762
HEIDI MICHELLE BEHNKE 1750932315
JULIA MARIE GOUIN 1992347058
AMBER MARIE HALL 1366084014
MRS. LISA MARIE ZELLER 1366065179
ALYSSA MILLER 1366066078
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.