Clover Behavioral Therapy PC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

CLOVER BEHAVIORAL THERAPY PC

Practice address

145 Pine Haven Shores Rd Ste 22
Shelburne, VT 05482-7703

Phone

(866) 352-5010

NPI assigned

Mar 21, 2023

Last updated

Feb 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gitty Endzweig

Title

Director

Phone

(866) 352-5010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1710689765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N 53RD AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PINE HAVEN SHORES RD STE 22",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054827703",
            "telephone_number": "866-352-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER BEHAVIORAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "ENDZWEIG",
        "authorized_official_first_name": "GITTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "866-352-5010"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philippe Charlebois, D.M.D.
• Brent Chatoff, PHARMD
• William Chatoff
• Lori Clarke, ND
• Karen Cleary, M.D.
• Margaret Ellen Coffey, ND
• Mindy Lee Cohen, MS PT
• Miles K Colaprete, DC
• Communal Health Services PLLC
• Compassionate Reliable Neighbors LLC (SYNERGY HomeCare)

• Behavior Analyst in Shelburne, VT
• Providers in Shelburne, VT by specialty
• Behavior Analyst in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.