Breanne Clark
Behavior Technician
7552 Navarre Pkwy Unit 36
Navarre
, Florida 32566-7309
Breanne Clark
Behavior Technician
7552 Navarre Pkwy Unit 36
Navarre
, Florida 32566-7309
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Breanne Clark
- 3771 Stefani Rd
- Cantonment, FL
- Zip : 32533-7795
- Phone :
Second Address
- Breanne Clark
- 7552 Navarre Pkwy Unit 36
- Navarre, FL
- Zip : 32566-7309
- Phone : (850) 939-4190
Reviews
FAQs
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Is Breanne Clark accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | 16-24244 | FL |
National Provider Identifier
| NPI | 1003323544 |
|---|---|
| Provider Name | Breanne Clark |
| First Address | Cantonment, FL 32533-7795 |
| Second Address | Navarre, FL 32566-7309 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.