Clark, Brandi Dawn

Clark, Brandi Dawn is an sole proprietor health care provider with primary practice located at 710 Nw 30Th Ave , Saint John KS 67576-8690. 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, Brandi Dawn can be contacted via phone (316) 730-1222.

Contact Information

Primary practice address
710 Nw 30Th Ave Saint John KS 67576-8690
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Kansas

Profile Details

NPI number 1952188831
LBN Legal business name Clark, Brandi Dawn
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2023
Last updated Sep 13th, 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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