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Theodore Clark
NPI 1053888925 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1312 Nw 96th St
Miami, FL 33147 - Phone
- (786) 320-0262
Registry record
- Primary taxonomy
- Behavior Technician
106S00000X
- Sex
- Male
- Record last updated
- 2018-10-30
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