SearchArkansas373H00000X

Shannon Clark, BSE

NPI 1700147436 · on the registry since 2012 · sole proprietor

Practice

Address
200 General St
Batesville, AR 72501
Phone
(870) 793-3200
Organisation at this address
Mkjd, Llc
Miracle Kids Success Academy
Miracle Kids Success Academy, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
66

Registry record

Primary taxonomy
373H00000X
373H00000X
Sex
Male
Record last updated
2012-05-29

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 Arkansas