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1881172195
NATHAN EDWARD CLARK
LINCOLNWOOD, IL
NPI
1881172195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IL 1-20-43731)
Enumeration Date
2018-07-30
Last Update Date
2020-08-05
Business Address
NATHAN EDWARD CLARK M.Ed., BCBA
4433 W TOUHY AVE STE 335
LINCOLNWOOD, IL 60712-1820
Phone number: 765-635-3349
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Mailing Address
NATHAN EDWARD CLARK M.Ed., BCBA
950 LEE ST STE 210
DES PLAINES, IL 60016-6574
Phone number: 877-486-4140
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