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Individual

ALEXANDER CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
6253 WILLET CT, LAKEWOOD RANCH, FL 34202-8224
(941) 724-0601
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
103T00000X
Psychologist
106S00000X
Behavior Technician

Other

Enumeration date
06/30/2021
Last updated
11/01/2023
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