Active NPI
Nixon Marc
- Behavior Analyst
- Greenacres, FL
National Provider Identifier
1073034203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 535 Olive Tree Cir
Greenacres, FL 33413-3052 - Phone
- (561) 229-5059
- Fax
- (561) 584-6413
- NPI assigned
- Jun 28, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | FL | Primary |
Addresses
Primary practice location
535 Olive Tree Cir
Greenacres, FL 33413-3052
Mailing address
535 Olive Tree Circle
Greenacres, FL 33413
Phone (561) 229-5059
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1073034203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 OLIVE TREE CIRCLE",
"city": "GREENACRES",
"state": "FL",
"postal_code": "33413",
"telephone_number": "561-229-5059",
"fax_number": "561-584-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 OLIVE TREE CIR",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334133052",
"telephone_number": "561-229-5059",
"fax_number": "561-584-6413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARC",
"first_name": "NIXON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.