Individual
ASHELY CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 CHURCH ST FL 19, NEW HAVEN, CT 06510-2100
(732) 204-1635
Mailing address
20 PALADINO AVE APT 14F, NEW YORK, NY 10035-2542
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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