Healthcare Provider Details

I. General information

NPI: 1720435167
Provider Name (Legal Business Name): CLAYTON EARL BLAND JR. BCBA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: CLAY BLAND BCBA

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 01/04/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 OAK RD STE 100
WALNUT CREEK CA
94597-2078
US

IV. Provider business mailing address

60B MOODY RD
BRUNSWICK ME
04011-7106
US

V. Phone/Fax

Practice location:
  • Phone: 510-422-3959
  • Fax:
Mailing address:
  • Phone: 207-680-4790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: