THEODORE RONALD CLARK

MIAMI, FL
NPI1053888925
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2018-10-30
Last Update Date2018-10-30
Business Address
Mr. THEODORE RONALD CLARK
1312 NW 96TH ST
MIAMI, FL 33147-2618
Phone number: 786-320-0262
Mailing Address
Mr. THEODORE RONALD CLARK
1312 NW 96TH ST
MIAMI, FL 33147-2618
Phone number: 786-320-0262