Clark, Courtney

Clark, Courtney is an individual health care provider with primary practice located at 230 E Conway Rd , Center Conway NH 03813-4002. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Clark, Courtney can be contacted via phone (603) 273-9270.

Contact Information

Primary practice address
230 E Conway Rd Center Conway NH 03813-4002
Phone: (603) 273-9270
Fax: (603) 255-7446
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23719 New Hampshire

Profile Details

NPI number 1558722082
LBN Legal business name Clark, Courtney
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2016
Last updated Oct 25th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558722082 NPPES
New Hampshire MEDICAID 3137577

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