DAKOTA R CLARK

DOUGLASVILLE, GA
NPI1437768850
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: GA  RBT-20-114381)
Enumeration Date2020-07-31
Last Update Date2020-07-31
Business Address
DAKOTA R CLARK
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135-1572
Phone number: 470-632-5276
Mailing Address
DAKOTA R CLARK
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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