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NPI Code Detail

MEDICARE: ALLISON LEIGH CLAMP BCBA

MEDICARE: ALLISON LEIGH CLAMP BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1912648452
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON LEIGH CLAMP BCBA
Provider Business Mailing Address
First Line : 224 THORNCREST DR
Second Line :
City : PAULINE
State : SC
Zip : 29374-1626
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 224 THORNCREST DR
Second Line :
City : PAULINE
State : SC
Zip : 29374-1626
Country : US
Telephone Number : 864-590-0458
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 04/06/2022

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Directions to “ ALLISON LEIGH CLAMP BCBA” Practice Location

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