Clayton's Cause, Llc | |
194 Swigert Ave Lexington KY 40505-1902 | |
(757) 871-9209 | |
(888) 398-7035 |
Full Name | Clayton's Cause, Llc |
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Speciality | Behavior Analyst |
Location | 194 Swigert Ave, Lexington, Kentucky |
Authorized Official Name and Position | Missy Ann Baker (OWNER) |
Authorized Official Contact | 7578719209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Clayton's Cause, Llc Po Box 12453 Lexington KY 40583-2453 Ph: (757) 871-9209 | Clayton's Cause, Llc 194 Swigert Ave Lexington KY 40505-1902 Ph: (757) 871-9209 |
NPI Number | 1053671206 |
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Provider Enumeration Date | 05/22/2012 |
Last Update Date | 05/22/2012 |
Identifier | Type | State | Issuer |
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1053671206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-09-5250 (* (Not Available)) | Primary |
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