Individual
ERICA GIZELLE CLINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 LOTTSFORD VISTA RD, LANHAM, MD 20706-4818
(484) 965-9966
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376
(484) 965-9966
(484) 231-8631
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-390322
MD
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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