Clyde David Bomgardner Jr., MA, MDIV

Behavior Analyst · Harrisburg, PA

Individual Active NPI

NPI number 1487888467

Practice location

200 S. Progress Avenue
Harrisburg, PA 17109-4638
Phone
(717) 526-4889
Fax
(717) 671-9149

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NPI record

NPI
1487888467
Entity type
Individual (Type 1)
Enumeration date
May 6, 2009
Last updated
May 6, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

Mailing address

200 N 7TH Street
Lebanon, PA 17046-5040
Phone
(717) 273-1710
Fax
(717) 273-1416

About Clyde Bomgardner

Clyde David Bomgardner Jr., MA, MDIV is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 200 S. Progress Avenue, Harrisburg, PA 17109-4638. The NPI number 1487888467 was assigned on May 6, 2009 and the record was last updated on May 6, 2009.

Frequently asked questions

What is the NPI number of Clyde David Bomgardner Jr., MA, MDIV?

The NPI number is 1487888467.

What is the phone number of Clyde Bomgardner?

The phone number listed for the practice location is (717) 526-4889.

Where is Clyde Bomgardner located?

200 S. Progress Avenue, Harrisburg, PA 17109-4638.

What is the taxonomy code for Clyde Bomgardner?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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