Active NPI
Susan Lynn Clifford, BCBA
- Behavior Analyst
- Danville, VA
National Provider Identifier
1912416520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 013300137
- Practice address
- 1045 Main St
Suite 2
Danville, VA 24540 - Phone
- (434) 835-4765
- NPI assigned
- Sep 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 013300137 | VA | Primary |
Addresses
Primary practice location
1045 Main St
Suite 2
Danville, VA 24540
Mailing address
4094 Goodman Crossing
P.O. Box 52
Lynch Station, VA 24571
Phone (434) 426-5572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013300137 | VA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1912416520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4094 GOODMAN CROSSING",
"address_2": "P.O. BOX 52",
"city": "LYNCH STATION",
"state": "VA",
"postal_code": "24571",
"telephone_number": "434-426-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 MAIN ST",
"address_2": "SUITE 2",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24540",
"telephone_number": "434-835-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "SUSAN",
"middle_name": "LYNN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-26",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "VA",
"license": "013300137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.