Clark, Eugenia

Clark, Eugenia is an individual health care provider with primary practice located at 4000 Civic Center Dr , San Rafael CA 94903-4171. 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, Eugenia can be contacted via phone (628) 877-0040.

Contact Information

Primary practice address
4000 Civic Center Dr San Rafael CA 94903-4171
Phone: (628) 877-0040
Fax: (628) 240-3997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-24-73104 California

Profile Details

NPI number 1811597537
LBN Legal business name Clark, Eugenia
Credentials M.A. ED., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2020
Last updated Jun 3rd, 2024 - about 5 months 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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