James Clark, BCBA
Behavior Analyst in Auburn, MA. Individual provider (NPI-1).
NPI number1962800516
StatusActive
Last updated in NPPESDec 15, 2014
Details
- NPI
- 1962800516
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Clark
- Credential
- BCBA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2014
- Last updated
- Dec 15, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-12-12285 | MA | Yes |
Practice location
65 Southbridge StAuburn, MA 01501-2566
Phone 774-243-1179 · Fax 774-243-1189
Mailing address
65 Southbridge StAuburn, MA 01501-2566
Phone 774-243-1179 · Fax 774-243-1189
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