Clark, Mason Samuel

Clark, Mason Samuel is an individual health care provider with primary practice located at 751 Rhoden Cove Rd , Tallahassee FL 32312-1013. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Clark, Mason Samuel can be contacted via phone (850) 815-8800.

Contact Information

Primary practice address
751 Rhoden Cove Rd Tallahassee FL 32312-1013
Phone: (850) 815-8800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X BACB1128648 Florida

Profile Details

NPI number 1215771878
LBN Legal business name Clark, Mason Samuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2024
Last updated Jun 19th, 2024 - about 5 months 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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