| Clayton's Cause, LLC | |
|
194 Swigert Ave Lexington KY 40505-1902 | |
| (757) 871-9209 | |
| (888) 398-7035 |
| Full Name | Clayton's Cause, LLC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/22/2012 |
| Last Update Date | 05/22/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053671206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-09-5250 () | Primary |
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