Callie Annette McCloud

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-122784 Issued in TN

Practice address

1680 S Jefferson Ave Ste G
Cookeville, TN 38506-2527

Phone

(931) 319-9650

NPI assigned

Jun 19, 2020

Last updated

Jun 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Leap Behavior Analysis, LLC

  • Behavior Analyst
  • Cookeville, TN
  • NPI 1194333153
  NPD
• Centers of Development, PLLC

  • Occupational Therapist
  • Cookeville, TN
  • NPI 1770771602
  NPD (past)

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1770109373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 S JEFFERSON AVE STE G",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385062527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 S JEFFERSON AVE STE G",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385062527",
            "telephone_number": "931-319-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "CALLIE",
        "middle_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": "RBT-20-122784",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TN",
            "license": "RBT-20-122784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon McBroom
• Jeffrey Harmon McCarter, M.D.
• Kim McCartt
• Wendy Carmel McClain, D.P.M.
• Patrick McClellan, DSW
• Amber McClurkan, LCSW
• Micah McColloch, PTA
• Tammy McCoy, MS
• Ashleyaunna Marie McDaniels
• Anna Jill McDermott, OTR/L

• Behavior Technician in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Behavior Technician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.