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1437768850
DAKOTA R CLARK
DOUGLASVILLE, GA
NPI
1437768850
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-20-114381)
Enumeration Date
2020-07-31
Last Update Date
2020-07-31
Business Address
DAKOTA R CLARK
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135-1572
Phone number: 470-632-5276
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Mailing Address
DAKOTA R CLARK
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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