Clark, Kathleen Pauline

Clark, Kathleen Pauline is an sole proprietor health care provider with primary practice located at 31 Lone Holw , Sandy UT 84092-5500. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Clark, Kathleen Pauline can be contacted via phone (801) 647-5254.

Contact Information

Primary practice address
31 Lone Holw Sandy UT 84092-5500
Phone: (801) 647-5254
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1497098446
LBN Legal business name Clark, Kathleen Pauline
Credentials MA, BCBA, LBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2013
Last updated Mar 15th, 2023 - about 2 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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