Teresa Grace McCloud

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1320 Culver Dr NE Ste 3
Palm Bay, FL 32907-1104

Phone

(321) 610-3849

Fax

(321) 428-4112

NPI assigned

Dec 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1295321560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 SIOUX AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352648",
            "telephone_number": "772-913-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 CULVER DR NE STE 3",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329071104",
            "telephone_number": "321-610-3849",
            "fax_number": "321-428-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "TERESA",
        "middle_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony L Maynard, APRN
• Elizabeth McLaurin Maynard, RBT
• Aolani Mayo, LMHC
• Laura E McCarthy, LMHC
• Carol McCauslin
• Trenton David McCort
• Ericka McCorvey, PMH 2139
• Natasha McCullouth
• Bruce Robert McCune, MD
• Annette McDaniel, NCC CCMHC LMHC LMT

• Behavior Technician in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.