Individual
ELLA CLARKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
210 S 2ND ST, CLINTON, MO 64735-2117
(660) 885-2394
(660) 383-1650
Mailing address
210 S 2ND ST, CLINTON, MO 64735-2117
(660) 885-2394
(660) 383-1650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-264946
MO
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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