Clinton Sutherland

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-22-224227 Issued in FL

Practice address

6566 Newport Lake Cir
Boca Raton, FL 33496-3001

Phone

(561) 298-9781

NPI assigned

Oct 10, 2022

Sex

Male

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

State licenses

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1558086603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CYPRESS TRCE",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334114956",
            "telephone_number": "561-298-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6566 NEWPORT LAKE CIR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334963001",
            "telephone_number": "561-298-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "CLINTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-22-224227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Surgicare of Boca Raton LLC
• Susan Levin, PH.D., P.a.
• Susan Patrick Rodell M D P a
• Susan Sagman PA
• Susan Shafran LLC
• Amber Sutliff, LMHC
• Peter Lehmann Sutphen, PSY.D.
• Douglas Hoyt Sutton, ARNP
• Suzanne Pavlou MD PLLC
• Suzanne Y Succop MD PA

• Behavior Analyst in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.