Clover Behavior Consulting

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1118537 Issued in MD

Legal business name

CLOVER BEHAVIOR CONSULTING

Practice address

402 King Farm Blvd
Rockville, MD 20850

Phone

(240) 304-6604

NPI assigned

Aug 23, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Colleen Williams

Title

Executive Director

Phone

(240) 304-6604

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1503446400000",
    "number": "1043737893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 KING FARM BLVD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "240-304-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER BEHAVIOR CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2017-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "240-304-6604"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "MD",
            "license": "1118537",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861759359",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Clinton
• Madison Aryanna Clinton, PA
• Felicia Clipper
• Ryan Christopher Closson, M.D.
• Emoni Clouden
• Kristen Clyburn
• Elizabeth Coakley
• Megan Alissa Coate, OTR
• Kiandra Coates
• Tamia Coates

• Behavior Analyst in Rockville, MD
• Providers in Rockville, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.