Active NPI
Deidra Mixon, MA
- Behavior Technician
- Iowa City, IA
National Provider Identifier
1538978333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 485 Highway 1 W
Iowa City, IA 52246-4205 - Phone
- (319) 351-5524
- Fax
- (319) 351-5754
- NPI assigned
- Jan 6, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
485 Highway 1 W
Iowa City, IA 52246-4205
Mailing address
485 Highway 1 W
Iowa City, IA 52246-4205
Phone (319) 351-5524
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1538978333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "485 HIGHWAY 1 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464205",
"telephone_number": "319-351-5524",
"fax_number": "319-351-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 HIGHWAY 1 W",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522464205",
"telephone_number": "319-351-5524",
"fax_number": "319-351-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIXON",
"first_name": "DEIDRA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.