Cleon Clint Bingham

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-21-172233 Issued in FL

Practice address

8096 NW 21St CT
Sunrise, FL 33322-3931

Phone

(954) 579-9121

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

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

Other identifiers 1

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": "1665360000000",
    "number": "1619692878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 NW 21ST CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223931",
            "telephone_number": "954-579-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 NW 21ST CT",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333223931",
            "telephone_number": "954-579-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "CLEON",
        "middle_name": "CLINT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-172233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111017500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley Bieberberg, AA
• Vincent A Bilello, DC
• Elaine Melicado Billena
• Aretia Altia Billings
• Roy Binder, HAS, BC-HIS, A.C.A
• Michael Rey Binolirao, PT
• Olga Bird, D.D.S
• Birth Work South Florida
• Gabrielle Bispott
• Samuel Biss, FNP

• Behavior Technician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.