Individual provider Active NPI

Charisse Mei Marquez Nicdao

  • Behavior Analyst
  • Sicklerville, NJ
National Provider Identifier
1376237982
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-34334
Practice address
114 Ciseley Dr
Sicklerville, NJ 08081-5718
Phone
(805) 218-9782
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 1-18-34334 Primary

Addresses

Primary practice location

114 Ciseley Dr
Sicklerville, NJ 08081-5718

Mailing address

114 Ciseley Dr
Sicklerville, NJ 08081-5718
Phone (805) 218-9782

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1376237982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CISELEY DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815718",
            "telephone_number": "805-218-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CISELEY DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815718",
            "telephone_number": "805-218-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ NICDAO",
        "first_name": "CHARISSE",
        "middle_name": "MEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-34334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.