Lana Leigh Clayton

Individual provider Active NPI Behavior Analyst · Ocean Springs, MS

NPI 1003384728 · NPPES record last updated Apr 20, 2023

Key facts

NPI
1003384728
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-21-48233 (MS)
Practice address
1104 Hanley Rd
Ocean Springs, MS 39564-3118
Phone
(850) 572-8366
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
QASPS10490FLMDAssistant Behavior Analyst
RBT1867639FLMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X QASPS10490 FL
Behavior Technician 106S00000X RBT1867639 FL
Behavior Analyst 103K00000X 1-21-48233 MS Yes

Addresses

Primary practice location

1104 Hanley Rd
Ocean Springs, MS 39564-3118

Mailing address

1104 Hanley Rd
Ocean Springs, MS 39564-3118
Phone (850) 572-8366

Other providers in Ocean Springs, MS

All providers in Ocean Springs, MS · Behavior Analyst in Mississippi

Sources for this page

Verify at the official NPI Registry.