Marcus Londyn Drake

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

2106114604 Issued in NV

Practice address

4185 Vegas Valley Dr Ste B
Las Vegas, NV 89121-2522

Phone

(702) 463-9066

Fax

(702) 463-9067

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1477156040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5370 E CRAIG RD APT 1187",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891152510",
            "telephone_number": "563-639-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 VEGAS VALLEY DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212522",
            "telephone_number": "702-463-9066",
            "fax_number": "702-463-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "MARCUS",
        "middle_name": "LONDYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NE",
            "license": "2106114604",
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NV",
            "license": "2106114604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Anthony Drake
• Ellen Barnethia Drake
• Kendra R Drake
• Lawrence Allen Drake, DDS
• Lilianne J Drake, MA CCC-SLP
• Marlene Drake
• Nya Drake
• Ranisha Drake
• Taurus Drake
• Terrell Anthony Drake

• Assistant Behavior Analyst in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assistant Behavior Analyst in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.