Clark, Aleasha Nicol

Clark, Aleasha Nicol is an individual health care provider with primary practice located at 205 Se Spokane St Ste 329 , Portland OR 97202-6495. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Clark, Aleasha Nicol can be contacted via phone (818) 241-6780.

Contact Information

Primary practice address
205 Se Spokane St Ste 329 Portland OR 97202-6495
Phone: (818) 241-6780
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X X085290006 Missouri
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1023588233
LBN Legal business name Clark, Aleasha Nicol
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2018
Last updated Nov 26th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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