Individual
MR. GERALD STANLEY MCCLELLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
41 PHEASANT COVE CIRCLE, YARMOUTH PORT, MA 02675-1022
(860) 930-1348
Mailing address
41 PHEASANT COVE CIRCLE, YARMOUTH PORT, MA 02675-1022
(860) 930-1348
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-02-1013
FL
Other
Enumeration date
01/20/2010
Last updated
09/30/2010
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