Individual
CLAYTON HENRY ASHTON MOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
5816 CREEDMOOR RD STE 104, RALEIGH, NC 27612-2310
(919) 665-4673
Mailing address
5816 CREEDMOOR RD STE 104, RALEIGH, NC 27612-2310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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