Marie Cathryn Wicks, MA BCBA LBS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BH003069 Issued in PA

Practice address

1029 Little Elk Creek Rd
Oxford, PA 19363-2812

Phone

(610) 563-8519

NPI assigned

Sep 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Marie Cathryn Brown Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1073062212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 LITTLE ELK CREEK RD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193632812",
            "telephone_number": "610-563-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 LITTLE ELK CREEK RD",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193632812",
            "telephone_number": "610-563-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKS",
        "first_name": "MARIE",
        "middle_name": "CATHRYN",
        "name_prefix": "Mrs.",
        "credential": "MA BCBA LBS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-29",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH003069",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "1-16-21731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BROWN",
            "middle_name": "CATHRYN",
            "prefix": "MISS",
            "credential": "MA BCBA LBS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Behavior Analyst in Oxford, PA
• Providers in Oxford, PA by specialty
• Behavior Analyst in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.