# DR. CLARISSA JO MIDDLETON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1861136277
- **Gender:** F
- **Credential:** P.H.D., M.ED.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 103K00000X | Behavior Analyst | — | NULL | — |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 1744R1102X | Research Study Specialist | — | NULL | — |
| 251300000X | Local Education Agency (LEA) | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QF0050X | Non-Surgical Family Planning Clinic/Center | — | NULL | — |
| 282J00000X | Religious Nonmedical Health Care Institution | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 376J00000X | Homemaker | — | NULL | — |

## Other

- **Enumeration date:** 04/21/2022
- **Last updated:** 04/21/2022