DAMETRE DARRELLE CLARK

GLENDALE, CA
NPI1134811813
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-23-272493)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
DAMETRE DARRELLE CLARK
237 N CENTRAL AVE STE A
GLENDALE, CA 91203-3526
Phone number: 323-795-2096
Mailing Address
DAMETRE DARRELLE CLARK
43423 CARPENTER DR
LANCASTER, CA 93535-4875
Phone number: 626-644-8851