Individual
KALEB CHRISTOPHER CLUBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1649 61ST ST FL 3013, BROOKLYN, NY 11204-2110
(785) 377-4744
Mailing address
1649 61ST ST FL 3013, BROOKLYN, NY 11204-2110
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
KS
Other
Enumeration date
05/19/2025
Last updated
05/30/2025
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