Mary R McLean, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-22-60901

Practice address

15603 Lawnes Creek CT
Centreville, VA 20120-3727

Phone

(703) 587-9027

Fax

(703) 587-9027

NPI assigned

May 6, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1417746215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15603 LAWNES CREEK CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203727",
            "telephone_number": "703-587-9027",
            "fax_number": "703-587-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15603 LAWNES CREEK CT",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203727",
            "telephone_number": "703-587-9027",
            "fax_number": "703-587-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MARY",
        "middle_name": "R",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-22-60901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Beth McCormack, LPC
• Erin Burlovich McDonald, PT, DPT, OCS
• Story McDonald, PA-C
• Sandra Elizabeth Ann McIntosh, LPC/RPTS/LMFT
• Camille McKenzie, DPT
• Eleanor Miriam Merrill
• Samar Benhusen Merriman, M.D.
• Graciela Meza
• Alexandra Miceli, OTR/L
• Paige R Migliozzi, FNP-BC, APRN

• Behavior Analyst in Centreville, VA
• Providers in Centreville, VA by specialty
• Behavior Analyst in Virginia

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