Individual provider Active NPI

Fiona Kathryn Clifford

  • Behavior Technician
  • Leesburg, FL
National Provider Identifier
1346070638
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-358059 Issued in FL
Practice address
1650 W Main St
Leesburg, FL 34748-2841
Phone
(352) 314-3760
Fax
(352) 314-2909
NPI assigned
Aug 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X RBT-24-358059 FL Primary

Addresses

Primary practice location

1650 W Main St
Leesburg, FL 34748-2841

Mailing address

712 Castleberry Cir
The Villages, FL 32162-6307
Phone (305) 322-8845

Other practice location 1

2210 Cr 528 Unit 1
Sumterville, FL 33585-5214
Phone (352) 314-3760

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

LicenseStateTypeSpecialty
RBT-24-358059FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1346070638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 CASTLEBERRY CIR",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321626307",
            "telephone_number": "305-322-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482841",
            "telephone_number": "352-314-3760",
            "fax_number": "352-314-2909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2210 Cr 528 Unit 1",
            "address_purpose": "LOCATION",
            "city": "Sumterville",
            "state": "FL",
            "postal_code": "335855214",
            "country_code": "US",
            "telephone_number": "352-314-3760",
            "fax_number": "352-314-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLIFFORD",
        "first_name": "FIONA",
        "middle_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-358059",
            "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 2, 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.