IndividualActive
/Keona Clark
NPI 1124359963 · Behavior Analyst · Mendham, NJ
Provider details
- NPI number
- 1124359963
- Entity type
- Individual
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Mailing address
80 W Main St
Mendham, NJ 07945-1257
Registry dates
- Enumerated
- 2010-01-19
- Last updated
- 2010-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.