Provider Demographics
NPI:1689405904
Name:CLAPP, DAVID JAMES (BCBA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JAMES
Last Name:CLAPP
Suffix:
Gender:M
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 N ANDREWS AVE APT M230
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33311-2543
Mailing Address - Country:US
Mailing Address - Phone:607-435-0144
Mailing Address - Fax:
Practice Address - Street 1:2727 N ANDREWS AVE APT M230
Practice Address - Street 2:
Practice Address - City:WILTON MANORS
Practice Address - State:FL
Practice Address - Zip Code:33311-2543
Practice Address - Country:US
Practice Address - Phone:607-435-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003662103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst