Clark, Tabitha K

Clark, Tabitha K is an individual health care provider with primary practice located at 520 Ne Colbern Rd Ste 200 , Lees Summit MO 64086-4711. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Clark, Tabitha K can be contacted via phone (816) 643-4959.

Contact Information

Primary practice address
520 Ne Colbern Rd Ste 200 Lees Summit MO 64086-4711
Phone: (816) 643-4959
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 2023027231 Missouri

Profile Details

NPI number 1760042444
LBN Legal business name Clark, Tabitha K
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2019
Last updated Aug 4th, 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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