Individual
MR. JAMES CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
65 SOUTHBRIDGE ST, AUBURN, MA 01501-2566
(774) 243-1179
(774) 243-1189
Mailing address
65 SOUTHBRIDGE ST, AUBURN, MA 01501-2566
(774) 243-1179
(774) 243-1189
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12285
MA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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