Clifford S Woodall, BCBA, SSW is a
Behavior Analyst based in Farmington, Utah. Clifford S Woodall is licensed to practice in Utah (license number 3107107-2506) and his current practice location is
240 N East Promontory Ste 200, Farmington, Utah. He can be reached at his office (for appointments etc.) via phone at
(385) 245-2151.
NPI number for Clifford S Woodall is 1235679895 and his current mailing address is 240 N East Promontory Ste 200, Farmington, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235679895.
Healthcare Provider's Profile
| Full Name | Clifford S Woodall |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 240 N East Promontory Ste 200, Farmington, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235679895
- Provider Enumeration Date: 03/01/2017
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Clifford S Woodall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235679895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 3107107-3503 (Utah) | Secondary |
| 103K00000X | Behavior Analyst | 3107107-2506 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Clifford S Woodall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Clifford S Woodall, BCBA, SSW
240 N East Promontory Ste 200,
Farmington, UT 84025-2950
Ph: (385) 245-2151 | Clifford S Woodall, BCBA, SSW
240 N East Promontory Ste 200,
Farmington, UT 84025-2950
Ph: (385) 245-2151 |
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