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Individual

ALEXISS CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3001 N GRANVILLE AVE, MUNCIE, IN 47303-2155
(765) 748-5116
Mailing address
7405 WESTFIELD BLVD, INDIANAPOLIS, IN 46240-3056
(765) 748-5116

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-12135
IN

Other

Enumeration date
06/12/2018
Last updated
12/19/2025
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