Individual
JARED MICHEL CLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, BCBA, LBA-NYS
Contact information
Practice address
4 S PINEHURST AVE APT 2C, NEW YORK, NY 10033-6633
(302) 270-5850
Mailing address
4 S PINEHURST AVE APT 2C, NEW YORK, NY 10033-6633
(302) 270-5850
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00245701
NY
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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