Phillip Shane Clemons
Phillip Shane Clemons is a Behavior Analyst in Fort Myers, Florida. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
6430 Plantation Park Ct Ste 200Fort Myers, FL 33966-4816
Phone: (239) 223-2751
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X |
|---|
Record details
| NPI number | 1053935015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 4, 2020 |
| Last updated in NPPES | June 4, 2020 |
| Certification date | June 4, 2020 |
| Mailing address | 1341 Lavin Ln, North Fort Myers, FL 33917-5307 |
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