Individual
HALLEY CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 COX RD STE C, GASTONIA, NC 28054-3433
(828) 455-3446
Mailing address
301 DEMAREE LN, MATTHEWS, NC 28105-2605
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-7311-462605
NC
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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