SearchFlorida103K00000X

Jennifer Clark, BA, BCABA

NPI 1295124899 · on the registry since 2015

Practice

Address
662 Lake George Dr
Melbourne, FL 32940
Phone
(321) 795-0778

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-01-20

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