Amy Cliff Graham, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

368-140 Issued in WI

Practice address

2807 Sycamore St Unit 100
North Port, FL 34289-9507

Phone

(941) 799-6733

Fax

(317) 520-8200

NPI assigned

Jun 11, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Hopebridge LLC

  • Behavior Analyst
  • University Park, FL
  • NPI 1700461704
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1811512296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 SYCAMORE ST UNIT 100",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342899507",
            "telephone_number": "941-799-6733",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 N Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Scandinavia",
            "state": "WI",
            "postal_code": "549779215",
            "country_code": "US",
            "telephone_number": "715-803-3294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "AMY",
        "middle_name": "CLIFF",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WI",
            "license": "368-140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maribel Gonzalez, ARNP
• Sandra Yamileth Goode
• Antoinette Marie Gortz, OTR
• Sahadia Gourgue
• Emily R Graffin
• Angela Graham
• Jade Whitney Grantham
• Grappin Clinic of Chiropractic PA
• Carl W Grappin, D.C.
• Lee Grappin, D.C.

• Behavior Analyst in North Port, FL
• Providers in North Port, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.