Laniya McClyde

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

012017052 Issued in LA

Practice address

1028 E Worthy St
Gonzales, LA 70737-4367

Phone

(855) 345-2273

NPI assigned

Apr 1, 2022

Last updated

Apr 8, 2022By 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 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": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1891436143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E WORTHY ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E WORTHY ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374367",
            "telephone_number": "855-345-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1925 Jake Ln",
            "address_purpose": "LOCATION",
            "city": "Sunshine",
            "state": "LA",
            "postal_code": "707803502",
            "country_code": "US",
            "telephone_number": "225-449-2384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLYDE",
        "first_name": "LANIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "LA",
            "license": "012017052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Technician in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Behavior Technician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.