Individual provider Active NPI

Tracy Dawn Martin, PHD, BCBA

  • Behavior Analyst
  • Magnolia, MS
National Provider Identifier
1194464768
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
9767 Issued in TX
Practice address
135 W Myrtle St
Magnolia, MS 39652-2805
Phone
(214) 687-2330
Fax
(682) 308-0835
NPI assigned
Jun 1, 2022
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 0133005103 VA
Behavior Analyst 103K00000X 9767 TX Primary

Addresses

Primary practice location

135 W Myrtle St
Magnolia, MS 39652-2805

Mailing address

135 W Myrtle St
Magnolia, MS 39652-2805
Phone (214) 687-2330

Other names 1

  • Tracy Dawn Pierce Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tracy.p@epcautism.org Health Information Exchange (HIE)

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
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Pierce Center for Autism Inc. Behavior Analyst Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tracymartin@centerforautism.com

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1194464768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W MYRTLE ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522805",
            "telephone_number": "214-687-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MYRTLE ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522805",
            "telephone_number": "214-687-2330",
            "fax_number": "682-308-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRACY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "PHD, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133005103",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "9767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.p@epcautism.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "135 W Myrtle St",
            "city": "Magnolia",
            "state": "MS",
            "country_code": "US",
            "postal_code": "396522805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PIERCE",
            "middle_name": "DAWN",
            "credential": "PHD, BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Magnolia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; 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.