Clark, Kelly Lynn

Clark, Kelly Lynn is an individual health care provider with primary practice located at 791 Rinehart Rd , Lake Mary FL 32746-4876. 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, Kelly Lynn can be contacted via phone (407) 413-9550.

Contact Information

Primary practice address
791 Rinehart Rd Lake Mary FL 32746-4876
Phone: (407) 413-9550
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1124430772
LBN Legal business name Clark, Kelly Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2014
Last updated Jan 16th, 2017 - about 7 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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