Provider Demographics
NPI:1790321768
Name:CLARKE ABA CONSULTING LLC
Entity Type:Organization
Organization Name:CLARKE ABA CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BCBA
Authorized Official - Prefix:
Authorized Official - First Name:RICKIESHA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:404-532-9271
Mailing Address - Street 1:3455 PEACHTREE RD NE FL 5
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30326-3254
Mailing Address - Country:US
Mailing Address - Phone:404-532-8271
Mailing Address - Fax:404-689-0377
Practice Address - Street 1:3455 PEACHTREE RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30326-3254
Practice Address - Country:US
Practice Address - Phone:404-532-8271
Practice Address - Fax:404-689-0377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty