Mrs. Paulette E Clark, BCBA, LABA
Behavior Analyst in Berkley, Massachusetts
1083928774- Practice location
- 90 S Main St, Berkley, MA 02779-2000
- Phone
- 508-386-0544
- Fax
- —
- Last updated
- October 31, 2017
Paulette Elizabeth Clark is a Behavior Analyst based in Berkley, MA. Paulette Elizabeth Clark practices in Berkley, MA and has the professional credentials of BCBA, LABA. The NPI Number for Paulette Elizabeth Clark is 1083928774 and holds a License No. 1010601 (MA). The current practice location address for Paulette Elizabeth Clark is 90 S Main St, Berkley, MA 02779-2000 and can be reached out via phone at 508-386-0544.
Provider Profile Details
- NPI Number
- 1083928774
- Provider Name
- Paulette Elizabeth Clark
- Credential
- BCBA, LABA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 90 S Main St, Berkley, MA 02779-2000
- Phone Number
- 508-386-0544
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- Yes
- Other Names
- Paulette Burdick (Former Name)
- Provider Enumeration Date
- August 5, 2010
- Last Update Date
- October 31, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 S Main St
Berkley, MA 02779-2000 - City
- Berkley
- State
- Massachusetts
- Zip
- 02779-2000
- Phone Number
- 508-386-0544
Provider Business Mailing Address Details
- Address
- 90 S Main St
Berkley, MA 02779-2000 - City
- Berkley
- State
- MA
- Zip
- 02779-2000
- Phone Number
- 508-386-0544
License Information
- License Number (1)
- 1010601
- License State (1)
- MA
- Taxonomy (1)
- Behavior Analyst · 103K00000X
- License Number (2)
- 000001448
- License State (2)
- MA
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Paulette E Clark, BCBA, LABA?
The NPI number of Mrs. Paulette E Clark, BCBA, LABA is 1083928774. It was assigned on August 5, 2010 and is currently active in the NPPES registry.
What is the specialty of Mrs. Paulette E Clark, BCBA, LABA?
Mrs. Paulette E Clark, BCBA, LABA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1010601.
Where does Mrs. Paulette E Clark, BCBA, LABA practice?
The practice location is 90 S Main St, Berkley, MA 02779-2000. The office can be reached at 508-386-0544 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083928774 directly on the NPPES registry website.