KIRA MELISSA CLARK

FORT WAYNE, IN
NPI1649858796
Former NameKIRA WITTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: IN  1-22-58909)
Additional Taxonomies106S00000X Behavior Technician
(Licence: IN  RBT-16-25450)
Enumeration Date2021-03-31
Last Update Date2023-07-07
Business Address
KIRA MELISSA CLARK MS, BCBA
4422 E STATE BLVD
FORT WAYNE, IN 46815-6917
Phone number: 260-471-9263
Mailing Address
KIRA MELISSA CLARK MS, BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885