Marshall Boden

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

107 Cherrywood CT
Brunswick, GA 31525-8590

Phone

(912) 215-9692

NPI assigned

Jul 27, 2016

Sex

Male

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1528511433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CHERRYWOOD CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315258590",
            "telephone_number": "912-215-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CHERRYWOOD CT",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315258590",
            "telephone_number": "912-215-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODEN",
        "first_name": "MARSHALL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Mack Boatright, RPH
• Tracie Bock, RD, LD
• David Thomas Boczar, D.C.
• Jennifer Leever Boczar, D.C.
• Brett A Bodamer, D.P.M.
• Kendall Disa Boges, LPC
• Bettye Boggs-Costic, LPN
• Parameshwara Rao Bolla, MD
• Nicole Grant Bonds
• Matthew R Boothby

• Behavior Analyst in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.