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1518486232
VALERIE CLACK
EVANS, GA
NPI
1518486232
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-18-32225)
Enumeration Date
2017-09-13
Last Update Date
2022-07-21
Business Address
VALERIE CLACK BCBA
624 PONDER PLACE DR
EVANS, GA 30809-3343
Phone number: 706-863-9699
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Mailing Address
VALERIE CLACK BCBA
10175 FORTUNE PKWY UNIT 903
JACKSONVILLE, FL 32256-6755
Phone number: 904-538-0713
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