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:
Health care specialties
| Specialty | Code | License # | 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 10 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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