Clark, Laura Danae

Clark, Laura Danae is an individual health care provider with primary practice located at 3007 Harbor Ln N Ste 1200 , Plymouth MN 55447-5103. 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, Laura Danae can be contacted via phone (612) 439-4650.

Contact Information

Primary practice address
3007 Harbor Ln N Ste 1200 Plymouth MN 55447-5103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 124-140 Wisconsin

Profile Details

NPI number 1891150082
LBN Legal business name Clark, Laura Danae
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2015
Last updated Jun 10th, 2022 - 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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