Individual
CASEY CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6405 OLD MAIN HL, LOGAN, UT 84322-6405
(435) 797-4200
(844) 308-5865
Mailing address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
13490256-2506
UT
103K00000X
Behavior Analyst
Primary
2015031166
MO
Other
Enumeration date
10/28/2015
Last updated
04/23/2026
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