Individual provider Active NPI

Deidra Marie King, MA, MS, BCBA

  • Behavior Analyst
  • Mamaroneck, NY
National Provider Identifier
1356616908
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
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

Updated by the provider on Aug 4, 2025

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 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.

Verify at the official NPI Registry.