Mark Alexander Fogleman, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

12149365 Issued in NC

Practice address

3000 Latrobe Dr
Charlotte, NC 28211-5226

Phone

(336) 261-8649

NPI assigned

Oct 29, 2018

Last updated

Apr 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1540771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1548737448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 EASTOVER RIDGE DR APT 333",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282111481",
            "telephone_number": "336-261-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282115226",
            "telephone_number": "336-261-8649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Branchview Dr NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280252226",
            "country_code": "US",
            "telephone_number": "704-461-3037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGLEMAN",
        "first_name": "MARK",
        "middle_name": "ALEXANDER",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-29",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "12149365",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Fogarty, MS, RDN, CSSD, LDN
• Kerryann Fogarty, APRN,FNP-C
• Patricia Marie Fogarty, MS, RDN, LDN
• Elizabeth Jane Fogle, PA-C
• Caroline Kaleel Fogleman, O.D.
• Jessie Nicole Foglio, DO
• Sunya W. Folayan, P-LCSW
• Lisa Nichole Folden, DPT
• Courtney Lynne Foley, DPT
• Lauren Foley, NP

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.