Clark, Gabrielle Alexandra

Clark, Gabrielle Alexandra is an sole proprietor health care provider with primary practice located at 33 Turnpike Road , Southborough MA 01772. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Clark, Gabrielle Alexandra can be contacted via phone (508) 481-1015.

Contact Information

Primary practice address
33 Turnpike Road Southborough MA 01772
Phone: (508) 481-1015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1407370711
LBN Legal business name Clark, Gabrielle Alexandra
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2017
Last updated Jul 21st, 2022 - about 3 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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