Individual provider Active NPI

Maqenzi S Hovious, MED, BCBA, LBA

  • Behavior Analyst
  • Columbus, IN
National Provider Identifier
1194203646
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
243624 Issued in KY
Practice address
2545 Fox Pointe Dr
Columbus, IN 47203-3220
Phone
(812) 657-3575
Fax
(812) 657-3580
NPI assigned
Aug 6, 2018
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 243624 KY Primary

Addresses

Primary practice location

2545 Fox Pointe Dr
Columbus, IN 47203-3220

Mailing address

2545 Fox Pointe Dr
Columbus, IN 47203-3220
Phone (812) 657-3575

Other identifiers 1

IdentifierTypeStateIssuer
300023836MedicaidIN

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
243624KYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Heartlinks ABA in LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1194203646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033220",
            "telephone_number": "812-657-3575",
            "fax_number": "812-657-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 FOX POINTE DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472033220",
            "telephone_number": "812-657-3575",
            "fax_number": "812-657-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVIOUS",
        "first_name": "MAQENZI",
        "middle_name": "S",
        "credential": "MED, BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "KY",
            "license": "243624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300023836",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.