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1780243964
JAKAYLA CLARK
WINSTON SALEM, NC
NPI
1780243964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2019-06-11
Last Update Date
2024-01-22
Business Address
JAKAYLA CLARK
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1508
Phone number: 336-692-7965
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Mailing Address
JAKAYLA CLARK
210 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1508
Phone number:
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