Clark, Gary

Clark, Gary is an individual health care provider with primary practice located at 100 Spenryn Dr , Madison AL 35758-1890. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Clark, Gary can be contacted via phone (256) 772-4400.

Contact Information

Primary practice address
100 Spenryn Dr Madison AL 35758-1890
Phone: (256) 772-4400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 19-93053 Idaho

Profile Details

NPI number 1972140713
LBN Legal business name Clark, Gary
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2019
Last updated Nov 27th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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