Active NPI
James Macon, BCBA
- Behavior Analyst
- Detroit, MI
National Provider Identifier
1235573502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401000206
- Practice address
- 7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157 - Phone
- (137) 108-7443
- Fax
- (855) 568-2494
- NPI assigned
- Apr 17, 2013
- Last updated
- Sep 8, 2022
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7401000206 | MI | Primary |
Addresses
Primary practice location
7375 Woodward Ave Ste 2800
Detroit, MI 48202-3157
Mailing address
1027 Baldwin St
Detroit, MI 48214-2430
Phone (605) 371-6387
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7401000206 | MI | MD | Behavioral Analyst |
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.
-
- Behavior Analyst
- Sioux Falls, SD
- NPI 1336582220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1235573502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 BALDWIN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482142430",
"telephone_number": "605-371-6387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 WOODWARD AVE STE 2800",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023157",
"telephone_number": "137-108-7443",
"fax_number": "855-568-2494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACON",
"first_name": "JAMES",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-17",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401000206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Clare Lynn Maclean, MSN, FNP-C
- Elizabeth Katherine Maclean, MD
- Lisa M. Maclean, M.D.
- Tiyanna Macnear
- Venus Macon-Dickerson, CADC-M
- Kristopher Macwilliams, MD
- Madame Paulettes Regal Services (Madame Paulette's Regal Services LLC Home Health Care Providers)
- Shashi K Madan, MD
- Mayura S Madani, MD
- Piyush Madani
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.