DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALEXANDRIA MARIAN CLARK

MEDICARE: ALEXANDRIA MARIAN CLARK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCO

General Provider Information

NPI Number : 1770459554
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA MARIAN CLARK
Provider Business Mailing Address
First Line : 1570 DUBLIN BLVD APT 135
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-3278
Country : US
Telephone Number : 720-425-0686
Fax Number :
Provider Business Practice Location Address
First Line : 1015 GARDEN OF THE GODS RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3489
Country : US
Telephone Number : 719-354-5297
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2025
Last Update Date : 02/03/2026

Similar Medicare Providers

1285500298 — CELESTE VAZQUEZ
Practice Location Address:
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
80907-3489
Practice Phone: 719-354-5297
Practice Fax:
1811517881 — MELISSA B FORNARA MA CCC-SLP
Practice Location Address:
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
80907-3489
Practice Phone: 719-354-5297
Practice Fax:
1316607336 — MS. ISABEL CARDOZA DE CARVALHO MS
Practice Location Address:
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
80907-3489
Practice Phone: 719-354-5297
Practice Fax:
1720819113 — ROBIN ALICIA JONES RBT
Practice Location Address:
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
80907-3489
Practice Phone: 719-354-5297
Practice Fax:
1417789611 — ROB SCHIETTECATTE
Practice Location Address:
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
80907-3489
Practice Phone: 719-354-5297
Practice Fax:
1578396040 — RACHAEL ANNA MCVEY RBT
Practice Location Address:
1015 GARDEN OF THE GODS RD
COLORADO SPRINGS, CO
80907-3489
Practice Phone: 719-354-5297
Practice Fax:

Directions to “ ALEXANDRIA MARIAN CLARK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.