Clover Therapy Center, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CLOVER THERAPY CENTER, LLC

Practice address

1119 Braggs Way
Myrtle Beach, SC 29572-4679

Phone

(603) 769-1198

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Kaylie Oleary, BCBANPI 1235962093

Title

Owner

Phone

(603) 769-1198

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaylie O'Leary, BCBA

  • Behavior Analyst
  • Merrimack, NH
  • NPI 1235962093
  NPD Authorized official

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1306663869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 BRAGGS WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724679",
            "telephone_number": "603-769-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 BRAGGS WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295724679",
            "telephone_number": "603-769-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "OLEARY",
        "authorized_official_first_name": "KAYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-769-1198",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregor G Cleveland, MD
• Kacee L Cleveland, LPC
• Alayna K Cline, OTR/L
• Danielle Marie Cline
• Laura Kathryn Close
• Brandon James Coakley, MD
• Erin Stephanie Coakley, PA-C
• Jenna Coakley, NP
• Coastal Anesthesia Medical Group, LLC
• Coastal Auditory Associates LLC.

• Behavior Analyst in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.