Individual provider Active NPI

Marly Jean-Pierre

  • Behavior Analyst
  • Casselberry, FL
National Provider Identifier
1619329950
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-48366 Issued in NC
Practice address
148 Wilshire Blvd
Casselberry, FL 32707-5372
Phone
(321) 972-4039
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-48366 NC Primary

Addresses

Primary practice location

148 Wilshire Blvd
Casselberry, FL 32707-5372

Mailing address

3800 Main St Apt 507
Houston, TX 77002-9675
Phone (386) 675-9325

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

Practice roles

OrganizationSpecialtyStatusNew patients
Special Voices LLC Behavior Analyst CurrentSince Mar 19, 2023 Accepting new patients
Special Voices LLC Behavior Analyst CurrentSince Jun 26, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1619329950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MAIN ST APT 507",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029675",
            "telephone_number": "386-675-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 WILSHIRE BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075372",
            "telephone_number": "321-972-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN-PIERRE",
        "first_name": "MARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-21-48366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.