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Justin Clark, BAHISTORY
Developmental Therapist in Southern Pines, North Carolina
NPI 1114360807

Justin Clark is a Developmental Therapist based in Southern Pines, NC. Justin Clark practices in Southern Pines, NC and has the professional credentials of BAHISTORY. The NPI Number for Justin Clark is 1114360807 and holds a License No. (North Carolina).

The current practice location address for Justin Clark is 1280 Central Dr, Southern Pines, NC and can be reached out via phone at 910-692-3323 and via fax at 910-692-1114.

Location: 1280 Central Dr, Southern Pines, NC, 28387-2102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114360807
Provider Name
Justin Clark
Credential
BAHISTORY
Provider Entity Type
Individual
Gender
Male
Address
1280 Central Dr, Southern Pines, NC, 28387-2102
Phone Number
910-692-3323
Fax Number
910-692-1114
Provider Enumeration Date
04/11/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8300012 05 NC
institution
Provider Business Practice Location Address Details
Address
1280 Central Dr
City
Southern Pines
State
North Carolina
Zip
28387-2102
Phone Number
910-692-3323
Fax Number
910-692-1114
person
Provider Business Mailing Address Details
Address
1280 Central Dr
City
Southern Pines
State
North Carolina
Zip
28387-2102
Phone Number
910-692-3323
Fax Number
910-692-1114
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Developmental Therapist
Speciality
-
Taxonomy
222Q00000X
License No.
()
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
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