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NPI Code Detail

MEDICARE: GRACE ASHLEY CLIFFORD

MEDICARE: GRACE ASHLEY CLIFFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1790625994
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ASHLEY CLIFFORD
Provider Business Mailing Address
First Line : 5416 SILVERGATE ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-4306
Country : US
Telephone Number : 661-364-1599
Fax Number :
Provider Business Practice Location Address
First Line : 8302 ESPRESSO DR
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-5687
Country : US
Telephone Number : 661-771-3351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “ GRACE ASHLEY CLIFFORD ” Practice Location

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