Maxville & Associates

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

MAXVILLE & ASSOCIATES

Practice address

5900 Galli LN
Collinsville, IL 62234-5836

Phone

(573) 864-9743

Fax

(636) 245-2102

NPI assigned

Apr 12, 2023

Last updated

Apr 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dale Allen Maxville Jr., PHD, BCBA-D, LBANPI 1336209311

Title

Owner

Phone

(573) 864-9743

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dale Allen Maxville Jr., PHD BCBA-D

  • Behavior Analyst
  • Saint Louis, MO
  • NPI 1336209311
  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1114613296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 GALLI LN",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622345836",
            "telephone_number": "573-864-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 GALLI LN",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622345836",
            "telephone_number": "573-864-9743",
            "fax_number": "636-245-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXVILLE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "MAXVILLE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-864-9743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD, BCBA-D, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Nicole Luebbers, OTR
• Kassandra Mapel, PT
• Juliann E Marth, DPT
• Jacqueline Martinez, MHP
• Matthew Liesen, DMD PLLC (Liesen Family Dental)
• Daniel J McAtee, D.D.S.
• Abby McBride, LCPC
• Megan McCart, LSW
• Kristopher M McClusky, D.C.
• Patricia McDermott, LCPC

• Behavior Analyst in Collinsville, IL
• Providers in Collinsville, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.