Individual
SUSAN LYNN CLIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1045 MAIN ST, SUITE 2, DANVILLE, VA 24540
(434) 835-4765
Mailing address
4094 GOODMAN CROSSING, P.O. BOX 52, LYNCH STATION, VA 24571
(434) 426-5572
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
013300137
VA
Other
Enumeration date
09/26/2017
Last updated
11/23/2021
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