Healthcare Provider Details

I. General information

NPI: 1831484278
Provider Name (Legal Business Name): TIMOTHY CLYDE LLOYD BCBA, LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2011
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4731 DEER RD
ORLANDO FL
32812-8208
US

IV. Provider business mailing address

789 S LAKE CLAIRE CIR
OVIEDO FL
32765-9245
US

V. Phone/Fax

Practice location:
  • Phone: 407-473-4057
  • Fax:
Mailing address:
  • Phone: 407-473-4057
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License NumberMT2632
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License NumberMT2632
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number251S00000X
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: