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Khristian Clark
Rehabilitation Practitioner in Escondido, California
NPI 1851055792

Khristian Clark is a Rehabilitation Practitioner based in Oceanside, CA. Khristian Clark practices in Escondido, CA. The NPI Number for Khristian Clark is 1851055792 and holds a License No. (California).

The current practice location address for Khristian Clark is 25143 Jack Rabbit Acres, Escondido, CA and can be reached out via phone at 760-566-8648.

Location: 25143 Jack Rabbit Acres, Escondido, CA, 92054-5309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851055792
Provider Name
Khristian Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
25143 Jack Rabbit Acres, Escondido, CA, 92054-5309
Phone Number
760-566-8648
Fax Number
Provider Enumeration Date
10/27/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
25143 Jack Rabbit Acres
City
Escondido
State
California
Zip
92026-1267
Phone Number
760-566-8648
Fax Number
person
Provider Business Mailing Address Details
Address
25143 Jack Rabbit Acres
City
Escondido
State
California
Zip
92026-1267
Phone Number
760-566-8648
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Behavior Technician
Speciality
-
Taxonomy
106S00000X
License No.
()
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
person
Provider's Taxonomy Details 3
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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