Clark, Olivia G

Clark, Olivia G is an individual health care provider with primary practice located at 1540 Country Club Rd , Sherwood AR 72120-5095. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Clark, Olivia G can be contacted via phone (501) 753-5459.

Contact Information

Primary practice address
1540 Country Club Rd Sherwood AR 72120-5095
Phone: (501) 753-5459
Fax: (501) 753-5463
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-22-210014 Arkansas

Profile Details

NPI number 1225772858
LBN Legal business name Clark, Olivia G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2022
Last updated Apr 20th, 2022 - about 4 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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