Mary Elizabeth Minton, MS, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-73157

Practice address

1835 Davie Ave Ste 413
Statesville, NC 28677-3578

Phone

(704) 572-3810

NPI assigned

Aug 19, 2019

Reactivated

Jun 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1003463670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 BRAWLEY SCHOOL RD #104, MOORESVILLE, NC 28117",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176876",
            "telephone_number": "704-703-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 DAVIE AVE STE 413",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773578",
            "telephone_number": "704-572-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINTON",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "MS, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "deactivation_date": "2024-05-25",
        "reactivation_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-24-73157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jane Millsaps, LPN
• Katya Minervini
• Shawn Micheal Minick, PT
• Angela Minor, LPN
• Emily Minton
• Anita Misra, M.D.
• Mitchell and Johnson Phcy Inc
• Cynthia Loree Mitchell, P.A.-C
• Hannah Mitchell
• Kimberly Mitchell, RPH

• Behavior Analyst in Statesville, NC
• Providers in Statesville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.