Clark Wilkes, Krysten

Clark Wilkes, Krysten is an individual health care provider with primary practice located at 652 Peace Chance Dr , Havre De Grace MD 21078-3162. 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 Wilkes, Krysten can be contacted via phone (702) 266-6584.

Contact Information

Primary practice address
652 Peace Chance Dr Havre De Grace MD 21078-3162
Phone: (702) 266-6584
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1134696578
LBN Legal business name Clark Wilkes, Krysten
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Feb 17th, 2023 - about 3 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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