Organization
CLEMENTINE KANSAS ABA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHARON GERSON (CHIEF FINANCIAL OFFICER)
(516) 510-5074
Entity
Organization
Contact information
Practice address
801 E DOUGLAS AVE FL 2, WICHITA, KS 67202-3548
(888) 603-2563
Mailing address
801 E DOUGLAS AVE FL 2, WICHITA, KS 67202-3548
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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