Breanne Clark

NPI 1003323544 · on the registry since 2018 · sole proprietor

Practice

Address: 7552 Navarre Pkwy Unit 36
Navarre, FL 32566
Phone: (850) 939-4190
Organisation at this address: Paul J Pandolfi
Cammack Clinic Pa
First Class Md, Pa
The Haven Place Llc
Spectrum House, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 118

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida