Active NPI
Payton Klingman
- Behavior Technician
- Leesburg, FL
National Provider Identifier
1295619948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1286471
- Practice address
- 619 W Dixie Ave
Leesburg, FL 34748-2602 - Phone
- (352) 805-4404
- NPI assigned
- Aug 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | BACB1286471 | FL | Primary |
Addresses
Primary practice location
619 W Dixie Ave
Leesburg, FL 34748-2602
Mailing address
4056 Picciola Rd Lot 6
Fruitland Park, FL 34731-6447
Phone (517) 554-8336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1286471 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1295619948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4056 PICCIOLA RD LOT 6",
"city": "FRUITLAND PARK",
"state": "FL",
"postal_code": "347316447",
"telephone_number": "517-554-8336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 W DIXIE AVE",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347482602",
"telephone_number": "352-805-4404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINGMAN",
"first_name": "PAYTON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-08-05",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1286471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.