Provider Demographics
NPI:1639961584
Name:CLIFFORD, SKYE ANYAI
Entity type:Individual
Prefix:
First Name:SKYE
Middle Name:ANYAI
Last Name:CLIFFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 STONECLIFF RD
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2213
Mailing Address - Country:US
Mailing Address - Phone:240-923-9460
Mailing Address - Fax:
Practice Address - Street 1:3113 ICEHOUSE PL
Practice Address - Street 2:
Practice Address - City:BRYANS ROAD
Practice Address - State:MD
Practice Address - Zip Code:20616-7012
Practice Address - Country:US
Practice Address - Phone:301-703-7504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician