Most Relevant Information
Provider Data
| NPI Number: | 1003301540 |
| Provider Name: | KATHLEEN CLAY BCBA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 0133001058 |
Most Important Dates
| Enumeration Date: | 06/27/2018 |
| Last Updated: | 04/13/2023 |
Provider Practice Location
10715 SPOTSYLVANIA AVE
FREDERICKSBURG
VA
224082674
Practice Location Phone/Fax
| Phone: | 5403393640 |
| Fax: | 5408981040 |
Provider Mailing Location
10715 SPOTSYLVANIA AVE
FREDERICKSBURG
VA
224082674
Provider Mailing Phone/Fax
| Phone: | 5403393640 |
| Fax: | 5408981040 |