Clark, Kelly Ann
Clark, Kelly Ann is an sole proprietor health care provider with primary practice located at 2231 Ellery Ave , Waterford MI 48327-1107. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Clark, Kelly Ann can be contacted via phone (248) 231-3861.Contact Information
Primary practice address
2231 Ellery Ave
Waterford MI 48327-1107
Phone: (248) 231-3861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 3235 | North Carolina |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 7401002511 | Michigan |
Profile Details
| NPI number | 1013497304 |
|---|---|
| LBN Legal business name | Clark, Kelly Ann |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2018 |
| Last updated | Aug 20th, 2025 - about last year |
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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