Individual provider Active NPI

Mark Richard Dixon, PH.D. BCBA-D

  • Behavior Analyst
  • Naperville, IL
National Provider Identifier
1497987747
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
29 S Webster St Ste 310
Naperville, IL 60540-4575
Phone
(630) 566-0506
Fax
(630) 521-5610
NPI assigned
Aug 20, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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 Primary

Addresses

Primary practice location

29 S Webster St Ste 310
Naperville, IL 60540-4575

Mailing address

PO Box 240
Naperville, IL 60566-0240
Phone (630) 566-0506

Other practice location 1

1640 W Roosevelt Rd
Chicago, IL 60608-1316
Phone (312) 413-1871

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
Emergent Learning LLC Behavior Analyst CurrentSince Sep 10, 2023 Accepting new patients
Emergent Learning LLC Behavior Analyst Past Accepting new patients
Emergent Learning LLC Behavior Analyst Past Accepting new patients
Emergent Learning LLC Behavior Analyst Past Accepting new patients
Emergent Learning LLC Behavior Analyst PastSince Jun 18, 2023 Accepting new patients
Emergent Learning LLC Behavior Analyst Past Accepting new patients

Locations

2055 Craigshire Dr
Ste 230
Saint Louis, MO 63146
Phone (315) 275-0506

840 E Primrose St
Springfield, MO 65807
Phone (417) 324-7777

Organizations & group practices 6

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1497987747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605660240",
            "telephone_number": "630-566-0506",
            "fax_number": "630-521-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 310",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605404575",
            "telephone_number": "630-566-0506",
            "fax_number": "630-521-5610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081316",
            "country_code": "US",
            "telephone_number": "312-413-1871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.  BCBA-D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-20",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.