Provider Demographics
NPI:1932084589
Name:CLOPTON, BAILEY SUSANMARIE
Entity type:Individual
Prefix:
First Name:BAILEY
Middle Name:SUSANMARIE
Last Name:CLOPTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12760 W 87TH STREET PKWY
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66215-4635
Mailing Address - Country:US
Mailing Address - Phone:913-944-2445
Mailing Address - Fax:
Practice Address - Street 1:12760 W 87TH STREET PKWY
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-4635
Practice Address - Country:US
Practice Address - Phone:913-944-2445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician