Individual provider Active NPI

Candice Robinson Dixon, BCBA

  • Behavior Analyst
  • Rincon, GA
National Provider Identifier
1457838211
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12147847 Issued in NU
Practice address
806 Towne Park Dr
Rincon, GA 31326-9368
Phone
(912) 312-4588
NPI assigned
Jul 24, 2018
Last updated
Jun 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 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 12147847 NU Primary

Addresses

Primary practice location

806 Towne Park Dr
Rincon, GA 31326-9368

Mailing address

125 Mingledorff Way
Springfield, GA 31329-5085

Other identifiers 1

IdentifierTypeStateIssuer
12147847OtherGABCBA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candice@brightlightbehavioral.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
FBTC Transitional Sub, LLC Behavior Analyst Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1457838211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINGLEDORFF WAY",
            "city": "SPRINGFIELD",
            "state": "GA",
            "postal_code": "313295085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 TOWNE PARK DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313269368",
            "telephone_number": "912-312-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON DIXON",
        "first_name": "CANDICE",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "12147847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA",
            "identifier": "12147847",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candice@brightlightbehavioral.com",
            "affiliation": "N",
            "address_1": "3229 Argent Blvd Ste A",
            "city": "Ridgeland",
            "state": "SC",
            "country_code": "US",
            "postal_code": "299363114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.