Provider Demographics
NPI:1992054894
Name:CLAYTON, WHITNEY TALBERT (BCBA)
Entity type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:TALBERT
Last Name:CLAYTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5455 RIVER RUN DR
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-7726
Mailing Address - Country:US
Mailing Address - Phone:801-735-4388
Mailing Address - Fax:
Practice Address - Street 1:1152 S 1250 E
Practice Address - Street 2:
Practice Address - City:SPANISH FORK
Practice Address - State:UT
Practice Address - Zip Code:84660-5969
Practice Address - Country:US
Practice Address - Phone:801-798-0934
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
UT10066831-2506103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No172V00000XOther Service ProvidersCommunity Health Worker