Individual provider Active NPI

Marie Hawkley, BCBA

  • Behavior Analyst
  • Virginia Beach, VA
National Provider Identifier
1396124186
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
0133001353 Issued in VA
Practice address
4652 Haygood Rd Ste C
Virginia Beach, VA 23455-5447
Phone
(757) 655-7274
Fax
(775) 392-1245
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 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 0133001353 VA Primary

Addresses

Primary practice location

4652 Haygood Rd Ste C
Virginia Beach, VA 23455-5447

Mailing address

2423 S Orange Ave # 353
Orlando, FL 32806-4543
Phone (757) 655-7274

Other identifiers 1

IdentifierTypeStateIssuer
30016806870002MedicaidVA

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

LicenseStateTypeSpecialty
0133001353VAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Remi Vista Inc. Past Accepting new patients
Comprehensive Autism Partnership, Inc. Behavior Analyst Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1396124186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 S ORANGE AVE # 353",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064543",
            "telephone_number": "757-655-7274",
            "fax_number": "775-392-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4652 HAYGOOD RD STE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555447",
            "telephone_number": "757-655-7274",
            "fax_number": "775-392-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKLEY",
        "first_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133001353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016806870002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.