Active NPI
Deidra Marie King, MA, MS, BCBA
- Behavior Analyst
- Mamaroneck, NY
National Provider Identifier
1356616908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8217
- Practice address
- 126 Library LN
Mamaroneck, NY 10543-3608 - Phone
- (914) 364-6019
- NPI assigned
- Mar 15, 2012
- Sex
- Female
- 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 | 1-11-8217 | Primary |
Addresses
Primary practice location
126 Library LN
Mamaroneck, NY 10543-3608
Mailing address
288 Park Ave
Harrison, NY 10528-4235
Other practice location 1
31170 Temecula Pkwy Ste 202
Temecula, CA 92592-2915
Phone (951) 699-8640
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 Arts, Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1356616908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "288 PARK AVE",
"city": "HARRISON",
"state": "NY",
"postal_code": "105284235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 LIBRARY LN",
"city": "MAMARONECK",
"state": "NY",
"postal_code": "105433608",
"telephone_number": "914-364-6019"
}
],
"practiceLocations": [
{
"address_1": "31170 Temecula Pkwy Ste 202",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925922915",
"country_code": "US",
"telephone_number": "951-699-8640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "DEIDRA",
"middle_name": "MARIE",
"credential": "MA, MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-15",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mamaroneck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.