Individual
MR. BRYAN C. CLAYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 PATRICIA DR, MIDWEST CITY, OK 73130-1637
(405) 259-9203
Mailing address
1508 PATRICIA DR, MIDWEST CITY, OK 73130-1637
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160851
CPR CERTIFICATION
OK
Enumeration date
07/07/2012
Last updated
07/07/2012
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