Active NPI
Marcus Baxley
- Assistant Behavior Analyst
- Dillon, SC
National Provider Identifier
1114418985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- Practice address
- 411 W Hampton St
Dillon, SC 29536-3337 - Phone
- (843) 765-4087
- Fax
- (843) 765-4085
- NPI assigned
- May 28, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Primary |
Addresses
Primary practice location
411 W Hampton St
Dillon, SC 29536-3337
Mailing address
110 S Center St
Mount Olive, NC 28365-2124
Phone (919) 635-3344
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": "1527465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527465600000",
"number": "1114418985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S CENTER ST",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283652124",
"telephone_number": "919-635-3344",
"fax_number": "919-635-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W HAMPTON ST",
"city": "DILLON",
"state": "SC",
"postal_code": "295363337",
"telephone_number": "843-765-4087",
"fax_number": "843-765-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXLEY",
"first_name": "MARCUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-28",
"last_updated": "2018-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dillon, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.