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Contact Information

CLINTIN BISSONG
1818 NEW YORK AVE NE STE 222207
WASHINGTON, DC20002-1848
 Phone: 202-516-5737
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Behavior Technician

106S00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for CLINTIN BISSONG · (Male)

NPI # 1407637036
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2023
Last updated 08/05/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers Not Available
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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