Clarissa Jessie Auld I
Behavior Technician in Beverly, MA. Individual provider (NPI-1).
NPI number1285488908
StatusActive
Last updated in NPPESApr 17, 2024
Details
- NPI
- 1285488908
- Entity type
- Individual (NPI-1)
- Name
- Clarissa Jessie Auld I
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2024
- Certification date
- Apr 17, 2024
- Last updated
- Apr 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
53h Trask StBeverly, MA 01915-1031
Phone 617-279-7892
Mailing address
53h Trask StBeverly, MA 01915-1031
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