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Contact Information

ALEASHA N CLARK
205 SE SPOKANE ST STE 329
PORTLAND, OR97202-6495
 Phone: 818-241-6780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Technician

106S00000X
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for ALEASHA N CLARK · (Female)

NPI Number 1023588233
Status Active
Credentials
Entity Individual
Enumeration date 11/30/2018
Last updated 11/26/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MO License # X085290006
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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