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NPI Code Detail

MEDICARE: KARA CLEMENT

MEDICARE:   KARA  CLEMENT
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 Technician

General Provider Information

NPI Number : 1831846245
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA CLEMENT
Provider Business Mailing Address
First Line : 14427 ARTHUR ST
Second Line :
City : OAK HILLS
State : CA
Zip : 92344-9507
Country : US
Telephone Number : 760-913-0154
Fax Number :
Provider Business Practice Location Address
First Line : 14427 ARTHUR ST
Second Line :
City : OAK HILLS
State : CA
Zip : 92344-9507
Country : US
Telephone Number : 760-913-0154
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2022
Last Update Date : 03/05/2022

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Directions to “ KARA CLEMENT ” Practice Location

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