Active NPI
Mark Rutowski
- Behavior Analyst
- Arlington, TX
National Provider Identifier
1609377092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7123
- Practice address
- 3017 Medlin Dr
Arlington, TX 76015-2336 - Phone
- (248) 299-0030
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- 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 Analyst | 103K00000X | 7123 | TX | Primary |
Addresses
Primary practice location
3017 Medlin Dr
Arlington, TX 76015-2336
Mailing address
2088 Holt Way
Grapevine, TX 76051-3009
Phone (826) 430-8152
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": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1609377092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2088 HOLT WAY",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513009",
"telephone_number": "826-430-8152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3017 MEDLIN DR",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152336",
"telephone_number": "248-299-0030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTOWSKI",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "7123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
- Lauren Russell
- Stephen Beck Russell, RPH
- Rusty a. Mlhoan, MD PA
- Ruth Oday (Almond Healthcare Services)
- Charne Iman Rutherford, PHARMD
- Ryan Adam Pharma LLC (Rx pharmacy)
- Melissa Benton Rybak, FNP-C
- S & J Direct Primary Care, PLLC (Durham Direct Primary Care)
- S-H Opco Pecan Park, LLC (Brookdale Pecan Park)
- S&S Life Scan Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.