Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-21-48233 | MS |
N | 106E00000X | Assistant Behavior Analyst | QASPS10490 | FL |
N | 106S00000X | Behavior Technician | RBT1867639 | FL |
NPI | 1003384728 |
---|---|
Provider Name | Lana Leigh Clayton |
First Address | Cantonment, FL 32533-7795 |
Second Address | Cantonment, FL 32533-7795 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2018 |
Last Update Date | 24/03/2021 |