Provider Demographics
NPI:1659194363
Name:CLAVEAU, TREVOR JOSEPH (RBT)
Entity type:Individual
Prefix:
First Name:TREVOR
Middle Name:JOSEPH
Last Name:CLAVEAU
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 1:1821 SUGAR HILL DR APT 202
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-6932
Mailing Address - Country:US
Mailing Address - Phone:703-217-4378
Mailing Address - Fax:
Practice Address - Street 1:8348 TRAFORD LN STE 301
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1650
Practice Address - Country:US
Practice Address - Phone:703-469-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-02
Last Update Date:2024-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst