Individual provider Active NPI

Lawrence Zachary Clifford, M.A., BCBA

  • Behavior Analyst
  • Colorado Springs, CO
National Provider Identifier
1326413873
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-19681 Issued in CA
Practice address
4515 Lasater TRL
Colorado Springs, CO 80922-1642
Phone
(805) 328-8322
NPI assigned
Dec 9, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-19681 CA Primary

Addresses

Primary practice location

4515 Lasater TRL
Colorado Springs, CO 80922-1642

Mailing address

4515 Lasater TRL
Colorado Springs, CO 80922-1642
Phone (805) 328-8322

Other names 1

  • Zack Clifford Other name

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey Behavior Company LLC Behavior Analyst Current Accepting new patients
The Behavior Company LTD. Behavior Analyst CurrentSince Jul 24, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1326413873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 LASATER TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221642",
            "telephone_number": "805-328-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 LASATER TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809221642",
            "telephone_number": "805-328-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "LAWRENCE",
        "middle_name": "ZACHARY",
        "credential": "M.A., BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-09",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-15-19681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACK",
            "last_name": "CLIFFORD",
            "credential": "M.A., BCBA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.