Clark, Shanequa

Clark, Shanequa is an sole proprietor health care provider with primary practice located at 628 Tinton Ave 3Rd Floor P17X @161, Bronx NY 10455. She recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as her primary health care specialty. Clark, Shanequa can be contacted via phone (718) 993-5642.

Contact Information

Primary practice address
628 Tinton Ave 3Rd Floor P17X @161 Bronx NY 10455
Phone: (718) 993-5642
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1336684679
LBN Legal business name Clark, Shanequa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2016
Last updated Dec 22nd, 2016 - about 8 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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