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Contact Information

ERIN CLARK, M.A., LPC, BCBA
2421 NE DOCTORS DR.
BEND, OR97701
 Phone: 541-224-6987
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for ERIN CLARK · (Female)

NPI # 1407241466
Status Active
Credentials M.A., LPC, BCBA
Entity Individual
Enumeration date 04/06/2015
Last updated 06/10/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • OR License # 1-15-18643
  • OR License # C3602
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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