Provider Demographics
NPI:1831484278
Name:LLOYD, TIMOTHY CLYDE (BCBA, LMFT)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:CLYDE
Last Name:LLOYD
Suffix:
Gender:M
Credentials:BCBA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:789 S LAKE CLAIRE CIR
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9245
Mailing Address - Country:US
Mailing Address - Phone:407-473-4057
Mailing Address - Fax:
Practice Address - Street 1:4731 DEER RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32812-8208
Practice Address - Country:US
Practice Address - Phone:407-473-4057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251S00000X103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2632OtherLICENSED MARRIAGE FAMILY THERAPIST