Individual
KLARKE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4451 PARLIAMENT PL STE A, LANHAM, MD 20706-1868
(301) 577-4333
Mailing address
4451 PARLIAMENT PL STE A, LANHAM, MD 20706-1868
(301) 577-4333
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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