Individual
COLLEEN CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1051 EBER BLVD, MELBOURNE, FL 32904-8768
(321) 536-3532
Mailing address
43 VALENCIA RD, ROCKLEDGE, FL 32955-2917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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