Individual
CLAYTON M LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, M.ED.ECE
Contact information
Practice address
9559 HIGHWAY 5 STE 601, DOUGLASVILLE, GA 30135-1572
(470) 632-5276
Mailing address
2579 SYLVAN RD, ATLANTA, GA 30344-6743
(678) 463-3443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37655
GA
Other
Enumeration date
09/25/2019
Last updated
09/28/2021
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