Provider Demographics
NPI:1003706904
Name:CLAYTON, PATRICK (RBT)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8487 9TH ST N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-3503
Mailing Address - Country:US
Mailing Address - Phone:727-318-3224
Mailing Address - Fax:727-800-2333
Practice Address - Street 1:8487 9TH ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-3503
Practice Address - Country:US
Practice Address - Phone:727-318-3224
Practice Address - Fax:727-800-2333
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-25-434106106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician