National Provider Identifier
Zachary Reilly Clark
Zachary Reilly Clark is listed in the NPPES registry with a primary specialty of Behavior Technician in Fairport, NY and a listed phone number of (585) 377-6590.
Profile Overview
- NPI
- 1356827844
- Provider Type
- Individual
- Primary Specialty
- Behavior Technician
- Enumeration Date
- July 17, 2018
- Last Updated
- July 17, 2018
Practice Location
- 6 N Main St Ste 110
- Fairport, NY 14450-1581
Phone: (585) 377-6590
Mailing Address
- 21600 Oxnard St Ste 1800
- Woodland Hills, CA 91367-7807
Specialties
- Behavior Technician (106S00000X)
Full Record
- NPI
- 1356827844
- Entity Type
- Individual
- Last Name
- Clark
- First Name
- Zachary
- Middle Name
- Reilly
- Mailing Street Address
- 21600 Oxnard St Ste 1800
- Mailing City
- Woodland Hills
- Mailing State
- CA
- Mailing ZIP Code
- 91367-7807
- Mailing Country
- US
- Mailing Phone
- (818) 345-2345
- Practice Street Address
- 6 N Main St Ste 110
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1581
- Practice Country
- US
- Practice Phone
- (585) 377-6590
- Enumeration Date
- July 17, 2018
- Last Updated
- July 17, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Behavior Technician (106S00000X)