Provider Demographics
NPI:1487158234
Name:PAUL, CLAIRE DONEHOWER (PHD, BCBA-D)
Entity type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:DONEHOWER
Last Name:PAUL
Suffix:
Gender:F
Credentials:PHD, BCBA-D
Other - Prefix:DR
Other - First Name:CLAIRE
Other - Middle Name:LINDSAY
Other - Last Name:DONEHOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, BCBA-D
Mailing Address - Street 1:1804 KOLORA CHASE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-4905
Mailing Address - Country:US
Mailing Address - Phone:443-844-9013
Mailing Address - Fax:
Practice Address - Street 1:1804 KOLORA CHASE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-4905
Practice Address - Country:US
Practice Address - Phone:443-844-9013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-19
Last Update Date:2018-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1-11-9026103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
1-11-9026OtherBACB