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1972151900
ELYSSA F CLARK
DURANGO, CO
NPI
1972151900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CO 1-19-39650)
Enumeration Date
2019-09-03
Last Update Date
2020-08-18
Business Address
ELYSSA F CLARK BCBA
270 E 8TH AVE STE 206
DURANGO, CO 81301-5708
Phone number: 970-769-0131
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Mailing Address
ELYSSA F CLARK BCBA
2003 E 2ND AVE
DURANGO, CO 81301-4629
Phone number: 303-968-4882
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