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Organization
SHEPHERD PARK CHILDREN'S ACADEMY LLC
Active
Organization
SHEPHERD PARK CHILDREN'S ACADEMY LLC
Active
Other names
Shepherd Park Children's Academy
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CLARKE (OWNER/DIRECTOR)
(202) 907-8183
Entity
Organization
Contact information
Practice address
7838 EASTERN AVE NW, WASHINGTON, DC 20012-1303
(202) 417-8932
Mailing address
7838 EASTERN AVE NW, WASHINGTON, DC 20012-1303
(202) 417-8932
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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