MEDICARE: DANIEL JOSEPH LLOYD M.S.

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
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1609434810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JOSEPH LLOYD M.S.

Provider Business Mailing Address
First Line	:	6320 PENN AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-1139
Country	:	US
Telephone Number	:	414-801-7187
Fax Number	:

Provider Business Practice Location Address
First Line	:	6320 PENN AVE S
Second Line	:
City	:	RICHFIELD
State	:	MN
Zip	:	55423-1139
Country	:	US
Telephone Number	:	612-677-2350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	05/13/2024

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