Mary Marquardt, MA BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-13-14666 Issued in CA

Practice address

1328 Blue Oaks Blvd
Suite 180
Roseville, CA 95678-7031

Phone

(916) 676-0488

NPI assigned

Jan 26, 2015

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 Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pacific Autism Learning Services, Inc

  • Community/Behavioral Health Agency
  • San Mateo, CA
  • NPI 1336435734
  NPD (past)

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1194115485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 BLUE OAKS BLVD",
            "address_2": "SUITE 180",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787031",
            "telephone_number": "916-676-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 BLUE OAKS BLVD",
            "address_2": "SUITE 180",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787031",
            "telephone_number": "916-676-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "MARY",
        "credential": "MA BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Levine M.D. Mindfulness Associates, P.C.
• Tanya R Mark
• Christopher Joseph Markus, D.O
• Ryan Marmorstein
• T J Maroon II, M.D.
• Wendy Marquardt, PH.D.
• Jessica Marquez
• James Marrelli, MFT
• Owen Bryn Marron, L.AC
• Pamela S Martell, M.D.

• Behavior Analyst in Roseville, CA
• Providers in Roseville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.