Clark, Nathan Edward

Clark, Nathan Edward is an individual health care provider with primary practice located at 4433 W Touhy Ave Ste 335 , Lincolnwood IL 60712-1820. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Clark, Nathan Edward can be contacted via phone (765) 635-3349.

Contact Information

Primary practice address
4433 W Touhy Ave Ste 335 Lincolnwood IL 60712-1820
Phone: (765) 635-3349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-43731 Illinois

Profile Details

NPI number 1881172195
LBN Legal business name Clark, Nathan Edward
Credentials M.ED., BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2018
Last updated Aug 5th, 2020 - about 6 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 1881172195 NPPES
Illinois Other 1-20-43731 BEHAVIOR ANALYST CERTIFICATION BOARD

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