Active NPI
Marilyn Prcic, BCBA
- Behavior Analyst
- Lutz, FL
National Provider Identifier
1508153701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-11-8563
- Practice address
- 17815 Hunting Bow Cir
Lutz, FL 33558-5401 - Phone
- (866) 610-0580
- NPI assigned
- Jul 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | 1-11-8563 | Primary |
Addresses
Primary practice location
17815 Hunting Bow Cir
Lutz, FL 33558-5401
Mailing address
175 Middle Street
Suite 1201
Lake Mary, FL 32746
Phone (866) 610-0580
Other names 1
- Marilyn McGrew
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496793600000",
"number": "1508153701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MIDDLE STREET",
"address_2": "SUITE 1201",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "32746",
"telephone_number": "866-610-0580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17815 HUNTING BOW CIR",
"city": "LUTZ",
"state": "FL",
"postal_code": "335585401",
"telephone_number": "866-610-0580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRCIC",
"first_name": "MARILYN",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2017-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-11-8563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARILYN",
"last_name": "MCGREW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.