Individual ProviderCandice ClarkBehavior TechnicianBehavioral Health & Social Service ProvidersPractice Address225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900(877) 418-2978PECOS EnrollmentBased on the most recent information from CMS, provider Candice Clark does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1003545864Provider TypeIndividualFull NameClark, CandiceGenderFemaleSole ProprietorNoEnumeration Date6/7/2022Last Updated6/7/2022Contact InformationPractice LocationPractice Address225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900Phone(877) 418-2978FaxUnlisted FaxMailing LocationMailing Address350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834Phone(877) 418-2978Fax(866) 500-2186Provider TaxonomiesCodeDescriptionLicenseCode106S00000XPrimaryDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerMassachusetts