Provider Demographics
NPI:1851006001
Name:CLAY, VICTORIA (RBT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:CLAY
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 GAINES LOOP W
Mailing Address - Street 2:
Mailing Address - City:BOAZ
Mailing Address - State:AL
Mailing Address - Zip Code:35956-8200
Mailing Address - Country:US
Mailing Address - Phone:256-558-5743
Mailing Address - Fax:
Practice Address - Street 1:145 GAINES LOOP W
Practice Address - Street 2:
Practice Address - City:BOAZ
Practice Address - State:AL
Practice Address - Zip Code:35956-8200
Practice Address - Country:US
Practice Address - Phone:256-558-5743
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2023-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician