Individual provider · Type 1 NPI
Kelly Clark
Day Training/Habilitation Specialist · Keyport, NJ
NPI number
1912891698
Active
Practice location
245 W Prospect Ave
Keyport, NJ 07735-5030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Day Training/Habilitation Specialist Primary | 373H00000X | None 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.
About NPI 1912891698
Kelly Clark's National Provider Identifier is 1912891698, issued on Jun 5, 2025. The primary taxonomy on file is Day Training/Habilitation Specialist (373H00000X), and the practice location is in Keyport, NJ. The record was last updated on Jun 5, 2025.