James Clark, BCBA
Individual provider Active NPI Behavior Analyst · Auburn, MA
NPI 1962800516 · NPPES record last updated Dec 15, 2014
Key facts
- NPI
- 1962800516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-12-12285 (MA)
- Practice address
- 65 Southbridge St
Auburn, MA 01501-2566 - Phone
- (774) 243-1179
- Fax
- (774) 243-1189
- NPI assigned
- Dec 15, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12285 | MA | Yes |
Addresses
Primary practice location
65 Southbridge St
Auburn, MA 01501-2566
Mailing address
65 Southbridge St
Auburn, MA 01501-2566
Phone (774) 243-1179
Other providers in Auburn, MA
- Ann M Chernoch
- Brent Chesbrough
- Alicia Chestna
- Child Health Associates
- Child Health Associates
- Sean Patrick Cleary
- Daniel J Clemente
- Cmipa Foundation, Inc.
- Jeffrey Lucash Cohn
- Michael J Cohn
All providers in Auburn, MA · Behavior Analyst in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.