Individual provider · Type 1 NPI

Amanda Clark

Day Training/Habilitation Specialist · Laurel, MS

NPI number 1609590181 Active

Practice location

1224 Hillcrest Dr
Laurel, MS 39440-4734

Mailing address

PO Box 18679
Hattiesburg, MS 39404-8679

Specialties and licenses

TaxonomyCodeLicense
Day Training/Habilitation Specialist Primary 373H00000XNone listed

Day Training/Habilitation Specialist: Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

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About NPI 1609590181

Amanda Clark's National Provider Identifier is 1609590181, issued on Sep 28, 2022. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Laurel, MS. The record was last updated on Sep 28, 2022.