Individual
CLAYTON HEADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32871 LA-16, DENHAM SPRINGS, LA 70706
(225) 349-7960
Mailing address
9131 RIDGE PECAN DR APT B, BATON ROUGE, LA 70810-7027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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